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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0541527
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
3/9/2021 3:09:25 PM
Creation date
3/9/2021 3:06:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0541527
PE
1608
FACILITY_ID
FA0023807
FACILITY_NAME
SMIT FARMS
STREET_NUMBER
12253
STREET_NAME
CLEMENTS
STREET_TYPE
RD
City
LINDEN
Zip
95236
CURRENT_STATUS
01
SITE_LOCATION
12253 CLEMENTS RD
P_LOCATION
99
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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Annual CHnm OF CUSTODY <br /> J www-fgUnc.com <br /> 33386:01/00/2020 1' Laboratory Copy (I of 3) <br /> C:S'r DF-SCRIPrION - Sec Reve,w side 101'Cullainer,Prescrv:nire anJ Sampling iolirmlaliun <br /> Phos._. - :a <br /> 3 a <br /> Coma°t Persu„ <br /> Project N 3 <br /> arnr. <br /> Purchase pr CIG . G w <br /> Ver Number: v <br /> Quo", <br /> ti y <br /> herFL <br /> w v � z <br /> vler_I v w 3 <br /> G <br /> a <br /> W <br /> Sarnplin€Fee: U " u •� <br /> Compositor - Pickup Fee: a h <br /> O <br /> 3 L Z <br /> Setup <br /> STDKnte <br /> Lai,N _T_i.c:urnher 00'Sanyt <br /> OE <br /> 3-1 gg89 - c rn <br /> Num Lo ,� a' $ '^ E <br /> ca Gun UesUriprion Dare v O <br /> I CiderWcll F Sam led <br /> ) SantpkJ �• F a m m'O 3 z <br /> IUC.) G DW I <br /> urks: <br /> Reli yuished <br /> Da <br /> � e: Time:( Relinquished Dale: TiR9 Dare: Time: <br /> -n ( mc Relinquished <br /> R�ceiv ` <br /> Date: Time: Received Dy: Dale: Tinto: eiveJ R <br /> r y le: Time- <br /> Santa <br /> a Paula <br /> bores I '� I <br /> Santa Paula, C 9306treeOffice 8 1 ah Il v <br /> EnPhone. (805 C`0-39293060 2500 Stagecoach Road ORIce 8 abor-t <br /> --'�-u Office 8 bot tory <br /> ax:(805)g 2000 Stockton,CA 95215 563 E. Lind, 3442 Fin re p e Suite D ice 8 L h ratory <br /> �54172/gg Fax:(805 Phone:(209 gq2_ Chico,CA 95926 9415 W.Goshen Avenue <br /> 392-2063 Phone: (330)343.5818 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Fax: 209 942_ 0182 <br /> ( ) 0423 cam,,.rto.,.�,,, �„__ Phone:(805)783a9an ...__. _- <br />
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