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SU0005730 SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WILD HARE
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2600 - Land Use Program
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PA-0500710
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SU0005730 SSNL
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Entry Properties
Last modified
12/27/2019 8:34:39 AM
Creation date
12/27/2019 8:31:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0005730
PE
2622
FACILITY_NAME
PA-0500710
STREET_NUMBER
25050
Direction
N
STREET_NAME
WILD HARE
STREET_TYPE
LN
City
ACAMPO
Zip
95220
APN
00310025
ENTERED_DATE
10/26/2005 12:00:00 AM
SITE_LOCATION
25050 N WILD HARE LN
RECEIVED_DATE
10/26/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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ENVIROI`IMENTAL1,,1t,1V'�ieg�ll Col1] CHAIN of CUSTODY <br /> L r o" Cupp U_t3) <br /> 33458:06/02/2008 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 a <br /> Phone: (209)367-3701 Fax: (209)333-8303 3 <br /> Contact Person: Neil Anderson <br /> Project Name: `�S Y O ve/l� <br /> Purchase Order N++u',''mber: o <br /> GS 0853 7 � <br /> Quote Number: U w 3 <br /> >- w <br /> Sampler(s) �� � W w <br /> Cn z <br /> U a � <br /> Sampling Fee: Pickup Fee: c o0 V) Q � <br /> G o a z <br /> Compositor Setup Date: / / Time: / 0z 0 <br /> 0 <br /> x <br /> E ❑ C? y <br /> It <br /> Lab Number: STK 8 3-9574 0 iE c a p 5 <br /> o Q F rxO �� U ,� <br /> Samp Date Time0 <br /> Num Location Description Sampled Sampled " a o <br /> P P E. a. w m 0 w" 3 000 <br /> 0 Travel Blank J,-30 G LBW 2 <br /> 1 �-7 G DW 2 1 <br /> Remarks: eDate: Time: Relinquished Date: Time: Relinquished D;linquished : "Time: <br /> e 'ved By: Date: Time: Received By: Date: Time: Received By: Date: 'Time: <br /> y 71e x l71c J/70`�) -- <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory P)el t!tuir.r <br /> 853 Corporation Street 2500 Stagecoach Road 563 East Lindo Avenue n <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 1 <br /> TEL: (805)392-2000 TEL: (209)942-0182 TEL: (530)343-5818 di•I d I n <br /> FAX: (805)525-4172 FAX: (209)942-0423 FAX: (530)343-3807 I-t <br />
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