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ARCHIVED REPORTS_XR0004903
Environmental Health - Public
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EHD Program Facility Records by Street Name
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L
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LOUISE
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365
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3500 - Local Oversight Program
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PR0545431
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ARCHIVED REPORTS_XR0004903
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Entry Properties
Last modified
3/9/2020 3:34:36 PM
Creation date
3/9/2020 11:59:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004903
RECORD_ID
PR0545431
PE
3528
FACILITY_ID
FA0005191
FACILITY_NAME
FULLER MOBILE HOME PARK
STREET_NUMBER
365
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19627022
CURRENT_STATUS
02
SITE_LOCATION
365 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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wb � � 7 C74r <br /> FJ WHF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAME <br /> SAMPLERS (signature) Number Q��� REMARKS <br /> /vo r <br /> a� <br /> of //� / <br /> Station / h n-,¢ I Tc,✓n-- <br /> Number Time a Station Location Con' m 'r'�`s`-'°[ <br /> ate <br /> tamers <br /> w4� <br /> C'Aj <br /> Relinquis ed b (signat re) Date / Time Re a by r z tur Relinquished by(signature) Date I Tire Received by (signature) <br /> ZCom;pa;nrr Agency C)ID <br /> Co y o Agen y• 1 Company or Agency Company or Agency. <br /> i <br /> Relinquished by(signature) Date / Time Received by (signature) Re'inquished by Date / Time Received by (signature) <br /> f,ompany or Agcr►Cy Company c.r Agony (Ompany or Agency Company or Aijuncy <br /> fielinquished by(siuncturG) llate / Time Received ic,r Laboratory by Hate / Tline Remarks/Shippiu(j Infuraw thin <br /> Company or Agency (s�gnaturt ) <br />
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