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3500 - Local Oversight Program
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PR0545790
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
6/15/2020 12:44:35 PM
Creation date
6/15/2020 12:20:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545790
PE
3528
FACILITY_ID
FA0011052
FACILITY_NAME
West Wind
STREET_NUMBER
100
Direction
S
STREET_NAME
VENTURA
STREET_TYPE
AVE
City
STOCKTON
Zip
95203-2920
APN
14505017
CURRENT_STATUS
02
SITE_LOCATION
100 S VENTURA AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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N" P,C) flox 3905 "c X125N.Uotden State Blvd.,Ste.if <br /> N 0 3 J 3 1 A).Box 3448 ® Agro Environtntntal ®'1100 C Aitpon 61W. <br /> Sonora,California 95370 Turlock,California 95381 5651 N.Pershing Ave.,C-3 P.Q.box 30035011` <br /> (209)532-0361 (209)668.9234 Stockton,California 95207 Pensacola,Flo*pa 32507 <br /> Fax(209)532-0773 Fax(209)668-9246 (209)474-1492 (904)477-0454,jZ <br /> Fax(209)4781716 Fax(904)477-03.34 <br /> SHIPPED TO: ( SEND RESULTS TO: FEB 1995 <br /> 1 <br /> l r CLt I NAME:. _ . -.:. -, _ . .: <br /> OFFICE: LIC <br /> .�y�r•c!i�w( <br /> El PLEASE FAX RESULTS: BILLING INSTRUCTIONS:. <br /> LA13OItATORY REPORT NUMBER: � " Q <br /> PROJECT NO. a � - <br /> S NO. �5ti`� 0 sw , <br /> SAMPLED Will- J7 <br /> BY of �v <br /> (Signature) coli,- <br /> Date Time Sample ers W� ,t4 <br /> REMAJZKS: MISC.. <br /> SP I <br /> is too <br /> _1121 <br /> :sem 1'7 Z - 61 �.� <br /> zea - 6 <br /> GN <br /> �� I17 Z - 4--- ,<,Tw <br /> 4 - <br /> Rclinquishctl <br /> '" - nus: ;.• � p ,, <br /> (Si nalure) 7 ! LSign.;lutc) n <br /> Relinquished By: "� �' r �`� —5 �: Q <br /> D 1tc: fl -Time: Received By: <br /> (Si nature) t` ale: Time: <br /> _ (Si�+ialure) <br /> Relinquished P : Dale: Time: Received fly: <br /> (Si nature) (SignDare: Time: <br /> ;tittrc;} <br /> Original-Sctirl <br /> Yellow-File Pink-Log Book <br /> ' 17 oAnoLk GRMV[tCS t�V 5213Ge]fOarJ J69t <br />
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