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ARCHIVED REPORTS XR0010469
Environmental Health - Public
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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749
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3500 - Local Oversight Program
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PR0544218
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ARCHIVED REPORTS XR0010469
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Entry Properties
Last modified
3/5/2019 12:30:48 PM
Creation date
3/5/2019 10:16:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010469
RECORD_ID
PR0544218
PE
3526
FACILITY_ID
FA0003870
FACILITY_NAME
SRH FOOD & GAS
STREET_NUMBER
749
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734309
CURRENT_STATUS
02
SITE_LOCATION
749 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Sherwood 8071 N Lander Avenue, P 0 Box 937 <br /> Hilmar, California 95324 <br /> 4z Labs (209) 667-5258 / FAX (209) 667-2581 <br /> C O R P O R A T I O N <br /> Lacs Report# '��) <br /> a% 1 I� ?)CHAIN OF CUSTODY RECORD <br /> Project Name f C d;a Sampler's Name BAJO Y&v,u <br /> 1 <br /> Project Number Date <br /> SAMPLE TYPE OF # OF LOCATION ANALYSIS REMARKS <br /> NO. DATE TIME SAMPLE CONT. REQUESTED <br /> 1 <br /> C i3l •t,3 g, +143 r T.5,K-km-y P r"7<1 V tE <br /> T <br /> Sza+�tc,-a,v, ca4 <br /> C.t�� • 4: Off: ��` <br /> e t-� • w �, pM <br />• Time <br /> Relinquished by(signawReceived By Dare) %14 <br /> /J�� <br /> ` <br /> Recery y Date Time <br /> Relinquished by(signature)lu <br /> Relinquished by(signature) <br /> Recaved By Date Time <br /> NOTES <br /> Page 35 <br />
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