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ARCHIVED REPORTS_XR0004401
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545486
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ARCHIVED REPORTS_XR0004401
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Entry Properties
Last modified
3/10/2020 4:58:19 PM
Creation date
3/10/2020 3:00:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004401
RECORD_ID
PR0545486
PE
3528
FACILITY_ID
FA0005611
FACILITY_NAME
ROYAL OAKS SAVINGS
STREET_NUMBER
510
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
510 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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' n <br /> GeoAnalytical Laboratories, Inc, M <br />' 1031 Kansas Ave Phone (209) 572-0900 0 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> . <br /> CHAIN OF CUSTODY 402 1 <br /> Client /EE Zl., e� , ..z,, , i!i :r~� ��r Rhone 1 -_�; 3 3�1 <br /> Address P� G /a 45-';C- E z'z dj' CC to <br /> zip a - <br /> 79 <br /> PROJECT ID �7�{ 3 � No ANALYSIS 0 <br /> } <br /> l ofcon <br /> 1 <br /> SAMPLED BY (signature) lain <br /> ers REMARKS <br /> same t11 R <br /> ;1d0 Sample !D r rti <br /> Date ITtrne a.� —C, <br /> I� z13o I ^4 w <br /> Z 3 <br /> 11�4 VV <br /> DD <br /> j — <br /> Relinquished by (signature) Date ITi;mjeRecei ed by (signature) )� Y� Date Time <br /> Relinquished by (dig Lure) Date Time Received by(s)gnature) Date Time <br /> Relinquished by (signature) Date Time Received by(signature) Date Time <br /> Relinquished by (signature) Date Time Received by (signature) Date Time <br /> Relinquished by (signature) DateTime Received by (signature) Date Time <br /> ISite Time Driving Time <br />*Start Finish Total Hours Start Finish Total Hours <br /> IMileage Approved B <br /> PP Y <br /> Garoh Graphics(209)527 3667 <br />
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