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REMOVAL_1987
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EUREKA
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2300 - Underground Storage Tank Program
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PR0540305
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REMOVAL_1987
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Entry Properties
Last modified
12/21/2020 1:20:32 PM
Creation date
12/21/2020 1:12:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1987
RECORD_ID
PR0540305
PE
2381
FACILITY_ID
FA0023039
FACILITY_NAME
HERBERT BRODAHL
STREET_NUMBER
412
STREET_NAME
EUREKA
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03931018
CURRENT_STATUS
02
SITE_LOCATION
412 EUREKA AVE
P_LOCATION
02
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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7,,/2, D 79 — 7a2 7 8 <br /> PROJ, NO. PROJECT NAME <br /> NO. V <br /> V L.P.NVO, SAMPLERS:ISlpnalunl <br /> OF y <br /> CON <br /> DATE SAMPLE I.D. TAINERS Y <br /> ��' REMARKS <br /> I IF H <br /> Relinquished by:ISlgnalurel DaleRlme Received by:(Signature) Remarks FieTl I <br /> U c e <br /> 51� rP :ril <br /> I 6PJs`r S Cozzi IQd <br /> Relinquished by.151pmtura7 DaleRlme Received by:ISignaturat II <br /> � �►05 Cq <br /> 43 6 z� <br /> Relinquished by:ISlgnafinel Date/Time Received for Laboratory by: <br /> (Signature, <br /> Canonle Environmental,212 Frank West Circle, Suite A,Stockton, CA 952o6 <br /> N° wmie Sample; Cena,y RetAnt.",Copy To Smppei pink-Lae Copy <br />
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