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SU0004627_SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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11456
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2600 - Land Use Program
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PA-0400488
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SU0004627_SSNL
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Entry Properties
Last modified
11/19/2024 3:46:24 PM
Creation date
9/9/2019 10:23:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0004627
PE
2622
FACILITY_NAME
PA-0400488
STREET_NUMBER
11456
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
APN
02506003
ENTERED_DATE
9/2/2004 12:00:00 AM
SITE_LOCATION
11456 W HWY 12
RECEIVED_DATE
9/2/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\11456\PA-0400488\SU0004627\SS STDY.PDF
Tags
EHD - Public
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F'gl Chain of Custody http://192.168.2.2/fgl/PageSTK/chafn/chain.php7CustomerlD=3009574&,COC_FD=STKO6... <br /> ENVIRONMENTAL CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab�N^umber: _ TEST DESCRIPTION AND ANALYSES REQUESTED f <br /> - T ! <br /> Client: Neil Anderson&Associates <br /> Customer Number. 3009574 <br /> Address: 902 Industrial Way + i <br /> 1 ffi; <br /> Lodi.CA 95240 <br /> Phone: (209)367-3701 Fax: (209)333-8303 t ygQ ILJ <br /> ! <br /> Contact Person: qqyy//�1� /h Neil Anderson a { d <br /> Project Name: <br /> Purchase Order Num U ! Yn 7+ 01 <br /> f <br /> j <br /> Quote Number: <br /> d1 m i <br /> t � { <br /> Sampler(s): 5�lr^Oln 9 a Z <br /> r <br /> V 3 rn <br /> ! D <br /> Sampling Fee: Pickup Fee: flii - U ; E '. $ p ml i <br /> FFx '� A <br /> Compositor SeupTme <br /> . .. . .. m <br /> Location siption ' Nm mSamJ <br /> {, vG <br /> Num Sampled Sampled <br /> � e� tul .._ -d L3j y C 3 w <br /> � � C <br /> I ! <br /> ; 4 <br /> 1 <br /> Remarks Re' h Date: Time: Reli edDate: 11me: 1 Relinquished Date. Tune. <br /> R By: Date: Time: Reci ed By: D e: Time: Recieved By: Date: Time: <br /> IIA151W (Ozl <br /> J 1 1 1 1 1 I I 1 1 I I 1 1 1 1 - -ML 751 L_�vF <br />
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