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ARCHIVED REPORTS_XR0013101
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HAMMER
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1767
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3500 - Local Oversight Program
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PR0545247
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ARCHIVED REPORTS_XR0013101
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Entry Properties
Last modified
1/30/2020 1:43:00 PM
Creation date
1/30/2020 11:13:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0013101
RECORD_ID
PR0545247
PE
3528
FACILITY_ID
FA0009790
FACILITY_NAME
CITY OF STOCKTON FIRE STATION #7
STREET_NUMBER
1767
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07509036
CURRENT_STATUS
02
SITE_LOCATION
1767 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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-, <br /> 0RDFII`3 WMNG1- <br /> 2527 FRESNO STREET ��-- <br /> ,.,,. :� <br /> m L - <br /> L 4 B O R A T R-I I3 FRESNO, CA 93721 <br /> (209) 268-7021 FAX:(209) 268-0740 <br /> CHAIN OF CUSTODY/ANALYSIS REQUEST <br /> nrr,rrr r�,, 1' <br /> 6"YU14-L iu. lufrtum fnaN "ILkti �!v 1 1PT KLi umf LCa"o w"6') <br /> r� ATTENTIO44-1,�><� 11 r ]� I ATTENTION: <, , 4[�>,�, t/ 11StateDept. of Health (DOHS) <br /> a NAME: <br /> NAME 'er e960Madera Mariposa <br /> ADDRESS�'� Dore - ADDRESS: Y <br /> Tulare Kings Merced Kern <br /> c . ter <br /> v5 <br /> OTHER: <br /> PHONE: <br /> } FAX: CONTRA2? 1 PL} # <br /> COMMENTS BACTERIOLOGICAL SAMPLES ONLY PROJECT INFO: <br /> E <br /> PUBLIC ROUTINE VC.z A <br /> SURFACE WATER REPEAT !� I <br /> �v CONSTRUCTION `~ REPLACEMENT PRJ# <br /> v OTHER -- - OTHER MGR:G <br /> PRIVATE ANALYSES REQUESTED <br /> 1 TURNAROUND REQUESTED: (circle pne) <br /> ROUTINE RUSH (Specify Date): <br /> SAMPLED BY (PRINT NAME):�� 7 r.�f <br /> E <br /> i 1 - �. y a <br /> SIGNATURE: <br /> ��- n Cl <br /> TYPE KEY: Drinking Water-DW'---,Waste Water-WW �44ueous-Aa I i <br /> Solid/Soil-SL Other-O (Describe in Corr`Kentsl <br /> i [����1 rn •L <br /> for SAMPLE ID SAMPLED TYPE <br /> DATE TIME <br /> S� 3 - 1 <br /> Ayr <br /> J <br /> RELINQUISHED BY COMPANY DATE TIME RECEIVED BY COMPANY <br />
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