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- •r. .. � � -.y. a E' � <br /> I , <br /> CASE CHECKLIST <br /> T SITUS/ADDRESS 3�- WY 571 nr <br /> OWNER/ADDRESS <br /> PROGRAM RECORD Pf:05Z-7L1a FACILITY ID 6fD6119Se2 <br /> Gvoo3dvra <br /> 1. 0317-641 Date referral received <br /> 2. i>34361M Date of environmental investigation <br /> 3. oLtr()' toq Date samples sent to lab <br /> 4. Date sample results received from lab <br /> 5. 0q1W1ocj Date summary prepared <br /> 6. a oj Date summary given to PHN <br /> 7. ?,Yt09 Date of notification letter sent to property owner <br /> 8. 4f'k4101 Date of notification of code enforcement agency <br /> 9. Date of notification of District Attorney office <br /> 10. Date of final inspection <br /> 11. Date samples sent to lab <br /> 12. Date sample results received from lab <br /> 13. 8' 2(16 Date closure letter sent to property owner <br /> 14. 2( & Date closure notification sent to code enforcement agency <br /> 15. Date closure notification sent to District Attorney office <br /> 16. Date final summary prepared <br /> 17. Date final summary given to PHN <br /> 071151 18. 0g-( Date 8552 faxed to DHS-CLPPB <br /> 19. Date case closed <br />