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ARCHIVED REPORTS_XR0004910
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_XR0004910
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Last modified
3/9/2020 4:53:32 PM
Creation date
3/9/2020 12:00:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004910
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
Scanner
SJGOV\sballwahn
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EHD - Public
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HF WHF, INC <br /> Post Office Box 427 <br /> Oakdale,CA 95361 <br /> CHAIN OF CUSTODY RECORD / (209)848-4280 <br /> Project Name ae c e �fCr ���i.91 CdAt t� �/}� %V? /�1 <br /> Y <br /> S Number Ivo �a? <br /> Samplers(signature) of y A REMARKS <br /> R , <br /> ContainersStation <br /> y <br /> Number gate Time o Station Location \� ��� <br /> U <br /> /;r, `- r f <br /> R quished by ignatu Date 1 Time R0eby(sign Lure) Relin uished by( at re) Date ! Time Received b (si natu <br /> y �' CorAg c C nyorAgency � Company or Agency, <br /> �� <br /> Relinquished by(signature) Date ! Time Received by(signature) Relinquished by(signature) Date ! Time Received by(signature) <br /> Company or Agency Company or Agency Company or Agency Company or Agency <br /> Relinquished by(signature) Date 1 Time Received by(signatum) Date 1 Time Remarks!Shipping Information <br /> Company or Agency Company or Agency <br />
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