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SU0009662_SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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4 (STATE ROUTE 4)
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24226
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2600 - Land Use Program
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PA-1300087
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SU0009662_SSNL
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Last modified
11/20/2024 9:08:29 AM
Creation date
9/4/2019 6:45:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0009662
PE
2622
FACILITY_NAME
PA-1300087
STREET_NUMBER
24226
Direction
E
STREET_NAME
STATE ROUTE 4
STREET_TYPE
RD
City
FARMINGTON
Zip
95230-
APN
18711020
ENTERED_DATE
6/12/2013 12:00:00 AM
SITE_LOCATION
24226 E HWY 4 RD
RECEIVED_DATE
6/12/2013 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\HWY 4\24226\PA-1300087\SU0009662\SS STDY.PDF
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EHD - Public
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nvlRonMEnTAL CHAINOFCUSTODY <br /> == AND ANA SISREOUESTDOCVAYEA7 <br /> Number. TEST DESCRIPTION AND ANALYSES REQUESTED <br /> /A <br /> 9 "o <br /> Client Live Oak GeoEnvimnrnental ' <br /> Customer NmnberI { <br /> 3016606 i I( <br /> Ams 407 W.Oak St. <br /> Lodi,CA 95240 t <br /> r <br /> Phorc. (209)369.0375 Fns (209)369-0377 <br /> lunml Addross: abby@109e106com g £ d I - <br /> ? o <br /> Coned Porson Abby Racco <br /> Reed Naam Chiappe Farms.24226 E.Hvy 4,Farmington 5 <br /> Purchase 0rder Nw W r yy <br /> U Q £ S <br /> Quote Number. <br /> Sempl s) Jessen Welch 9 o <br /> ddd ~ I <br /> o 11 <br /> S t mg Fee'. Pickup Fee: a A£ ¢ £m - a g ?_= Ql. <br /> d <br /> Canporitor Scmp Dale: Time: b a L. On <br /> s � <br /> 8 _ m C A ~ y <br /> Snmp Location Descripion DotC Tim c S 5y _ g 2i jgfi@' z <br /> Num Sampled Sampled <br /> 0 Travel Blank G 2 G X <br /> 1 Dorlesbc Well _ -IC G 3 PIG I P DW RC O 4 X X <br /> W <br /> Remarks elmgw hedDale: Time Rch LIteTime Relucitowd Daze: Timc: <br /> i�ov 1 <br /> -dBY. Time: Recei Bp. l l lime a I cd Toe-. <br /> 7/a r3 r3 170 Ic <br /> Corporate oMteea 8 Laboratory ortice 4.laboratory OMlce B Laboratory Field Offee <br /> 953 Corporation greet 2500 Stagecoach Road 583E Undo Avenue Naalia. Gh/om,a <br /> Saha Paula,CA 93060 Stockton.0495215 Chico,CA 95928 TEL 55GnU-8473 <br /> TEL 8051392-2000 TEL 2(Mi,12.0182 TEL 5=43-5818 Moble: 559!137-2399 <br /> FAX 905/,x25-4172 FAX 20911142U 23 FAX 530!3433807 FAX 55G3r34-8435 <br /> CA NELAP Cen1ftWce No.01140CA CA ELAP Cedrf¢ on No.1563 CA ELAP Cert icotmh No 2670 <br />
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