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REMOVAL_1995
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231588
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REMOVAL_1995
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Entry Properties
Last modified
4/19/2021 11:36:18 AM
Creation date
11/5/2018 1:03:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1995
RECORD_ID
PR0231588
PE
2381
FACILITY_ID
FA0003917
FACILITY_NAME
BORAL ROOFING
STREET_NUMBER
9508
STREET_NAME
HARLAN
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19321003
CURRENT_STATUS
02
SITE_LOCATION
9508 HARLAN RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\H\HARLAN\9508\PR0231588\REMOVAL 1995.PDF
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EHD - Public
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GeoAnalytical Laboratories, Inc. <br /> 1405 Kansas Ave., Suite A r,t. t Phone (209) 572-0900 $ <br /> Modesto. CA 95351 �F'W#(209) 572-0916 <br /> MAY 2 4 1y95 15436 <br /> CHAIN OF CUSTODY <br /> ENVIRONMENTAL HEALTH r <br /> pERMfTISERVICES <br /> Client ^'���'ti iC Q Phone <br /> s Zai-�6S3 <br /> Address CC to: L <br /> hi 0I)jLczL'r7 .C/t 4zip <br /> 0NIrriz 120OF IaE <br /> N/4.ZCi4nJ� 12,17 <br /> A� <br /> PROJECT ID ANALYSIS <br /> 94 L40 3 © of / <br /> of V <br /> SAM BY: (sign ) ten- <br /> l ere t REMARKS <br /> se Pe '\ <br /> Date TimeSemple ID <br /> ere O P. <br /> a•y 3:3 T / x X49 ? <br /> ' r Vo x G <br /> ii-4 3 — / X Z 6 1/ <br /> 3' S - -x— <br /> 'woo, <br /> x <br /> t <br /> PEW�/SEIZ\7 <br /> Relinquished by(signature): Date Time R y nature): �r- Date Time <br /> Relinquished by(signature): Date Time Received y ignature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Site Time: / Driving Time: <br /> Start:/•'3L9 Finish:Y,�/,d�o Total Hours: a Start: Finish: 7.-3n Total Hours: /lie <br /> Mileage JfAlb — 673S Sr. Ar' Approved By <br /> Garoli Graphite( ✓4&— y�. / •1� <br />
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