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COMPLIANCE INFO PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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S
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SACRAMENTO
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1320
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2200 - Hazardous Waste Program
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PR0522330
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COMPLIANCE INFO PRE 2019
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Last modified
11/7/2024 1:58:30 PM
Creation date
3/5/2019 1:54:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0522330
PE
2220
FACILITY_ID
FA0009151
FACILITY_NAME
VANDER LANS AND SONS INC
STREET_NUMBER
1320
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
05330025
CURRENT_STATUS
01
SITE_LOCATION
1320 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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PUBLIC-HEALTFiI SERVTCES <br />ENVIRONNT—NTAL. FEALTH <br />CHAIN OF CUSTODY RECORD <br />1. Samoler's Name bG. Title <br />Appendix H <br />o�OK <br />Date <br />I <br />Tittle <br />Item <br />Location <br />M# <br />Unit <br />Required <br />Analysis <br />Remarks <br />Condition/Temperature <br />I <br />I I <br />i <br />i <br />I <br />I <br />I <br />3. Evidence tape R! <br />4. Sample transported in iced cooler Q <br />S. Relinquished by MV -J \'- Q�`'CS \'S o�-\ �SC� <br />name title date ume <br />Received by <br />acme title date time <br />remarks (coadition/temperature) <br />6. Relinquished by wews <br />name title date time <br />Received bvC� . j� � �Vf_ — r\. e I3L <br />name title date time <br />EH <br />remarks (coaditioa/temperature) <br />13 <br />r'� <br />
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