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ARCHIVED REPORTS_XR0009234
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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TILLIE LEWIS
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1444
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2900 - Site Mitigation Program
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PR0540506
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ARCHIVED REPORTS_XR0009234
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Entry Properties
Last modified
6/11/2020 12:28:43 PM
Creation date
6/11/2020 12:25:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009234
RECORD_ID
PR0540506
PE
2950
FACILITY_ID
FA0023166
FACILITY_NAME
MONBERG PROPERTY
STREET_NUMBER
1444
STREET_NAME
TILLIE LEWIS
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
16335003
CURRENT_STATUS
01
SITE_LOCATION
1444 TILLIE LEWIS DR
P_LOCATION
01
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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w I <br /> }A� <br /> CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST GJ 4 7 U <br /> PROJ NO PROJECT NAME ANALYSIS TYPE REQUESTED T <br /> SAMPLERS (Signature) w <br /> ur a <br /> ��... Z uj <br /> Q <br /> ao� � <br /> ID NO DATE TIME 0 ir STATION& LOCATION U <br /> 00 cn REMARKS <br /> L.u- <br /> t.. y- ►r � �'y3 t 1 � <br /> i <br /> I <br /> PLEASE RETURN ICE CHESTS <br /> AND BLUE ICE TO WATERWORK <br /> LABPR 1 <br /> I <br /> eh quashed by Date Time RDeceiv`ed by \ Relinquished by Date Time Received by <br /> 43a2a ! 4 <br /> Rellnqu he Date Time Received by �?r Relinquished by Date Time Received by <br /> ��lZ�q� <br /> Relinquished by Date Time Receive 4y Laboratory Date Tiimm�ep�, REMARKS(Shipping Related) <br /> 01 J1 !uU <br /> f <br />
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