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ARCHIVED REPORTS XR0012869
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CHARTER
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1521
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3500 - Local Oversight Program
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PR0544466
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ARCHIVED REPORTS XR0012869
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Entry Properties
Last modified
5/16/2019 3:42:02 PM
Creation date
5/16/2019 3:24:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012869
RECORD_ID
PR0544466
PE
3528
FACILITY_ID
FA0005303
FACILITY_NAME
HOLT OF CALIFORNIA
STREET_NUMBER
1521
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16337015
CURRENT_STATUS
02
SITE_LOCATION
1521 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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• �ISIU�Dl � • . �� � <br /> CHAIN OF CUSTODY RECORD Bill To <br /> L <br /> Sher ood $071 N Lander Avenue <br /> 1[ P O Box 937 <br /> LHilmar, California 95324 <br /> 4aS (209) 667-5258 Attention Phone <br /> C o R P O R A T 1 o N FAX (209)667-2581 r Y U Page of <br /> Job Number Project Name y <br /> Sampl ignature) <br /> I <br /> SAMPLE pA TYPE SAMP SAMPLE INFORMATION NO <br /> NUMBER TYPE CNTRS////// <br /> 131 l0 ,o '--&1 <br /> /a moo f/ <br /> r <br /> +Y <br /> Y <br /> R hed B igna Date/Time Re ed By (Sign e , DatefTime Ship Via <br /> Rehn unshed y (S Date/Time -R <br /> gceive By (Signature) Daterrtme <br /> ' 1 � t 4 � )1t' I v�l�/r� TURNAROUNDTIME Date <br /> Relinqujs By (Signature) Dat +me Receive By (Signature) Daterrt e <br /> 4,A'£4 HR ❑5 Day ❑1tl-Day <br /> DISTRIBUTION tial Accompanies Shipment Canary Copy Sherwood Pink Sampler NOTE Samples are discarded 30 days after resuks are reported unless odder N&Icements are made <br />
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