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ARCHIVED REPORTS_XR0012692
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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F
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5491
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3500 - Local Oversight Program
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PR0545028
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ARCHIVED REPORTS_XR0012692
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Entry Properties
Last modified
12/6/2019 5:54:55 PM
Creation date
12/6/2019 2:59:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012692
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
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EHD - Public
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EA T T <br /> Y <br /> T <br /> II ENVETS <br /> IRONMENTAL CONSULTAN`s'S S dayLturrn-VER aro <br /> . turn-around <br /> nd <br /> PROJECT NAM£:I, CHAIN OF CUSTOAY RECORD <br /> g <br /> SAMPLER si y <br /> i n a to Number of <br /> Containexa/ <br /> � of <br /> Date <br /> Time Sam}rle Location Sample <br /> ZZ <br /> 6 3az-~ <br /> r/ : — e7�22S ff- LV j Z K Lob J.D. <br /> 3c Z ,o�rz2trtt-- p Z tI rq- X E ` 5� <br /> a <br /> Relinquished by: Date <br /> Q� � / Time Received b <br /> ��z5yl Y= Relinquished by: Date / Time Received by; <br /> Com a <br /> 8"z6 Qq� Sf]el,�l��fG�L" <br /> Relinquished by; Date Com an ' Com an : <br /> / Time Received by. :coib <br /> ' Relinquished by: DateTime <br /> / Rec <br /> Coeived by: <br /> m an <br /> u=sheCom an ; <br /> Relinqd by; Date Cnm an <br /> Time Received by; Relinquished by. Date Clm an : c',, <br /> Time <br /> Com Received by: <br /> an <br /> Com an k <br /> F <br /> x <br />
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