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CO0000504
Environmental Health - Public
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2500 – Emergency Response Program
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CO0000504
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Entry Properties
Last modified
11/20/2019 11:22:00 AM
Creation date
2/13/2019 11:44:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0000504
PE
2531
FACILITY_NAME
UNKN
STREET_NUMBER
8000
STREET_NAME
WAVERLY
STREET_TYPE
RD
City
LINDEN
ENTERED_DATE
8/17/1993 12:00:00 AM
SITE_LOCATION
8000 WAVERLY RD
RECEIVED_DATE
8/16/1993 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WAVERLY\8000\CO0000504.PDF
Tags
EHD - Public
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CHAIN-OF-CUSTODY Condor Earth Technologies, Inc. <br /> Brian[_ane Lj 1125 N.Golden State Blvd.,Ste.H � Agro Environmental � 1100 C Airport Blvd. <br /> f ) 1.10663 <br /> .Box 3905 P.O.Box 3448 5651 N.Pershing Ave.,C-3 P.O.Box 30035 <br /> No <br /> �J 0" Sonore,California 95370 Turlock,California 95381 Stockton,California 95207 Pensacola,Florida 32503 <br /> (209)532-0361 (209)668-9234 (209)474.1492 (904)477-0454 <br /> Fax(209)532-0773 Fax(209)668-9248 Fax(209)478-1716 Fax(904)477-0534 <br /> SHIPPED TO: SEND RESULTS TO: <br /> NAME: <br /> OFFICE: <br /> BILLING INSTRUCTIONS: <br /> XPLEASE FAX RESULTS: LABORATORY REPORT NUMBER: <br /> PROJECT NO. <br /> / NO. �cti`� C�rof <br /> SAMPLED BY: <br /> (Signature) tain-con- /Q Uj�� <br /> Date Time Sample ID ers �`� �` �~ REMARKS: MISC. <br /> -Wjs 3' )-7 fM- s [- Al FA& (�? <br /> Al -)( 4 60y <br /> X, FSG <br /> RelinquishedBy: Da Time: Received B - Date• Time: <br /> (Signature) 1„�L (Signature) ,rd <br /> Relinquished By: datLl Tine: Received By: Date: Timc: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Tinge: Received By: Date: Time: <br /> (Signature) (Signature) _ <br /> Original-Send Yellow-File I'ii�k-1.�,;� Boo <br />
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