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ARCHIVED REPORTS_XR0008215
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WEST
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2801
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2900 - Site Mitigation Program
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PR0504943
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ARCHIVED REPORTS_XR0008215
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Entry Properties
Last modified
6/18/2020 12:44:48 PM
Creation date
6/18/2020 12:17:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008215
RECORD_ID
PR0504943
PE
2951
FACILITY_ID
FA0004032
FACILITY_NAME
AMERICAN MOULDING & MILLWORK (FRMR)
STREET_NUMBER
2801
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11709001
CURRENT_STATUS
02
SITE_LOCATION
2801 WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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LSauers
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EHD - Public
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PROJ NO CHAIN OF CUSTODY RECORD <br /> SITE/LOCATION - <br /> a <br /> NO <br /> SAMPLERS (Siploture) <br /> CJ� OF �4�`�' ''o <br /> v G REMARKS (with initials) <br /> C 0 N- <br /> JWa TAINERS <br /> STA NO DATE TIME a>. Uj SAMPLE IDENTIFICATION <br /> 4 F16j�,�y sus�o� S�rop I� <br /> .� <br /> It 1. \t t l EPA <br /> -z % <br /> r <br /> �kw <br /> 3 9r EPA <br /> Cao a AA - Z <br /> I `t vJ - Pf <br /> A4 ,n 1. l\ h 4 zz <br /> n�. <br /> CPA SalS I�ocQ; <br /> -CA1 0 <br /> Sri== Ee S�� r] i tce <br /> f1;; rc;a me o^ ine s <br /> Relinquished by rpnature/Firml Date/Time Received by (s,Qnorure/FrrmJ Rel+nqulst fs',pna'►ure/F,rm1 Time Received (S,ynarure/F'rm) <br /> 1�0 (� S'Ap LJ ' .l i }5 W IOUs 100CrS;)3 <br /> Relinquished by (S,gnorure/Firm! ~ Dafe/T+me Recewe by (Srpnarure/Form) RelinqUished by ,yno/ure bate/Time Received (S,pnofure/F,rml <br /> Relinquished by (Sryna,ure/Frrm) Dote/Time -Received by (S,gnarure/F,rmj Date/Ti marks (attachments if necessary) <br /> c340o <br />
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