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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0544481
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Entry Properties
Last modified
5/20/2019 3:46:06 PM
Creation date
5/20/2019 3:09:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0544481
PE
3528
FACILITY_ID
FA0005127
FACILITY_NAME
ELLIS CAR WASH
STREET_NUMBER
820
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04742005
CURRENT_STATUS
02
SITE_LOCATION
820 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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t , <br /> GeoAnalytical Laboratories, Inc. <br /> 1031 Kansas Ave., Suite C Phone (209) 572-0900 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY 9 U J <br /> Client CD/VDOk /%l/�lock Phone <br /> Address CC to: <br /> Zip <br /> SAS S6/�(91/Y C6 e DrT, 4//4ti fs <br /> PROJECT ID� `� ANALYSIS O <br /> 5 No. <br /> of <br /> SAMPL BY: (signal con- / <br /> tain- <br /> G ers / REMARKS <br /> same ety <br /> Date T e )e Sample Location <br /> Date T�e <br /> Grab Comp. <br /> '5 - J <br /> / 3 <br /> / <br /> 62!Y4 ;?19-55 PiP2!4- D 5-9 <br /> nquished by(si e): D to Timep rR ,by(s' ature to Time <br /> R quished by(sign re): ate Time eceveby(signature 1. Date Time <br /> elinquished 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: Finish: Total Hours: Start: Finish: Total Hours: <br /> Garoli Graphics(209)527-3667 <br />
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