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ARCHIVED REPORTS_XR0009460
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FONTANA
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2130
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3500 - Local Oversight Program
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PR0545053
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ARCHIVED REPORTS_XR0009460
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Last modified
12/11/2019 11:36:48 AM
Creation date
12/11/2019 10:26:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009460
RECORD_ID
PR0545053
PE
3528
FACILITY_ID
FA0005720
FACILITY_NAME
SMITH CANAL PUMP STATION
STREET_NUMBER
2130
STREET_NAME
FONTANA
STREET_TYPE
DR
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2130 FONTANA DR
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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--� <br /> CHAIN OF CUSTODY RECORD AND ANALYSIS REQUEST <br /> PROJECT NO. PROJECT NAMEISITE ANALYSIS REQUESTED P.O. A:cc <br /> SAMPLERS (SIGN ui z 0- <br /> INT) <br /> 0 lb /17 <br /> EL <br /> SAMPLE IDENTIFICATION DATE TIME PRES. u�i 0 <br /> U U USED = N 0 ti tiQ `O le r0ry gory REMARKS <br /> SS 117-9 130 ✓ 14&1 Y y W ✓ ✓ ( , AvktER Na ?e <br /> M kr_ � l 9 1120 ✓ ✓ ✓ 4 W ✓ ✓ -� v <br /> RELINQUISHED BY: DATE TIME R IVSD BY: LABORATORY: PLEASE SEND RESULTS TO: <br /> 1'/� O A Ltd �-tO r -A WES n1 A A5 CA L.orJ <br /> R (SHED BY: DATE TIME RECEIVED BY: <br /> RELINQUISHED BY: DATE TIME RECEIV BY: REQUESTED TURNAROUND TIME: <br /> S 7,41JbA)2-D <br /> RELINQ HED BY: DATE TIME RECEIVED BY LABORATORY: RECEIPT CONDITION: PROJECT MANAGER: <br />
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