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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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CHURCH
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2900 - Site Mitigation Program
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PR0516614
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Last modified
5/31/2019 3:45:12 PM
Creation date
5/31/2019 3:06:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0516614
PE
2960
FACILITY_ID
FA0012708
FACILITY_NAME
NEWARK SIERRA PAPERBOARD/ RECYCLING
STREET_NUMBER
800
Direction
W
STREET_NAME
CHURCH
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
14523004
CURRENT_STATUS
02
SITE_LOCATION
800 W CHURCH ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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>r <br /> ` PROBLEM CHAIN-OF-CUSTODY Ivl�zb��v� <br /> DATE/TIME �� �� 1 I�''� DATE RECEIVED °gtdVb I q-' <br /> CLIENT NIS aG TURN AROUND TIME <br /> CLIENT SERVICES REP ANALYSTG <br /> PROBLEM <br /> i <br />�: .,..__.._..::. ..._..,�....;i._.,�......�,..`�..£..,»>..._...,.,.,,�..._s W_:.�. ..........::�.. ...,_j;: ..,...:... ..._...' _.__.._,,......-.._._.....:......_.._ ._.�>...�.._,,.v,.:.�':i.,.� a.,. �_...-.uz.x.,. <br /> RESOLUTION ` <br /> Client Instruction* 1�- <br /> r <br /> Telephone Number of Client: <br /> Client Contact for Instruction: �2ar� ier rv►a� <br /> Date and Time of Instruction: <br /> Date &Time Form Given to Sample Control: <br /> CLIENT SERVICES REP. SIGNATURE: <br /> DATE/TIME: V - <br /> `If client does not return call within 24 hours, please route this form to the Laboratory Director. <br /> White Copy - Client Services Pink Copy - Sample Control <br />
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