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SU0006926 SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-0800027
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SU0006926 SSNL
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Entry Properties
Last modified
5/7/2020 11:32:49 AM
Creation date
9/9/2019 9:07:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0006926
PE
2622
FACILITY_NAME
PA-0800027
STREET_NUMBER
11981
Direction
S
STREET_NAME
ROBERTS
STREET_TYPE
RD
City
STOCKTON
APN
19115003
ENTERED_DATE
1/25/2008 12:00:00 AM
SITE_LOCATION
11981 S ROBERTS RD
RECEIVED_DATE
1/25/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\ROBERTS\11981\PA-0800027\SU0006926\SS STDY.PDF
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EHD - Public
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t 4 4 i <br /> ENVIRONMENTAL Weekly CHAIN OF CUSTODY <br /> www.fgiin c.coni Laboratory Co (1 of 3) <br /> I milli 111111111111111111111111111111111 111mi 33458:04/07/2008 TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling information <br /> Client: Neil Anderson& Associates <br /> Address: 902 Industrial Way <br /> Lodi,CA 95240 <br /> Phone: (209)367-3701 Fax: (209)333-8303 3 <br /> Contact Person: Neil Anderso <br /> UJ 3 N <br /> Project Name: �u � O Q u <br /> is <br /> Purchase Order Number: //C O Q� <br /> Quote Number: U <br /> 3 } r <br /> Samplers) E Z y <br /> U " u <br /> r o cn',. Q <br /> Sampling Fee: Pickup Fee: c y 'g ti ua <br /> U z <br /> Compositor Setup Date: _/_/_ Time: E z °G <br /> E <br /> Lab Number: STK 414, // 3-9574 w a u O u <br /> > Ud <br /> Samp Date fine = r = _ `u < — <br /> Location Description Sampled Sam " ' E a E <br /> Num IrJ u <br /> P G P E- a m m 0 c: 300 <br /> O Travel Blank 5 0 1055 G LBW 2 <br /> G DW _' 1 <br /> Remarks: luuluished Date: Time: Reli 'shed S/ D ate: Time: IRclinquished Date: Time: <br /> s� as r Qlc <br /> e Date: Time: ReceivedBy p te: Ti ec ed By: Date: Time: <br /> 'IC4 <br /> r,QIR4rdt0_QJIiCes&Laboratory Office_&Laboratory Office 6 Laboratory Field Office <br /> P.O.Box 272/853 Corporation Street 2500 Stagecoach Road 563 East Undo Avenue Visalia.California <br /> Santa Paula.CA 93061-0272 Stockton,CA 95215 Chico,CA 95926 TEL-. (559)734.9473 <br /> TEL (8051392-2000 TEL. (209)942-0182 TEL (530)343.5818 Mobile:(559)737-2399 <br />
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