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FIELD DOCUMENTS_CASE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MARIPOSA
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13521
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3500 - Local Oversight Program
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PR0545534
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FIELD DOCUMENTS_CASE 2
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Last modified
3/13/2020 1:49:23 AM
Creation date
3/12/2020 11:59:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
CASE 2
RECORD_ID
PR0545534
PE
3528
FACILITY_ID
FA0001457
FACILITY_NAME
COLLEGEVILLE MARKET & CAFE
STREET_NUMBER
13521
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18306007
CURRENT_STATUS
02
SITE_LOCATION
13521 E MARIPOSA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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Condor Earth Technologies, Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I ! i <br /> N 0- 4770 P.O. Box 3905 / Sonora, California 95370 Stockton,CA 95206 <br /> 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 09-234-0538 (fax) <br /> info@condorearth.com (e-mail) con or condorstockton.com(e-mail) <br /> SHIPPED TO: / SEND/RESULTS TO: <br /> '4y-el07, i �. �' .�, NAME: pit b avWL� <br /> OFFICE: 7��C A/ <br /> PLEASE FAX RESULTS: � W-4t- <br /> PROJECT:-365Z <br /> PROJECT NO. J j <br /> 0 dei 41 N0. ��S Verification <br /> -� <br /> SAMPLED BY: . coon- <br /> (Signature) �I, lain- <br /> Date Time S ple ID ers ,t� REMARKS: MISC. <br /> -7- 10/ piste--�' b,�` / ?C <br /> 6-7-2002, <br /> 1� Uts z X <br /> tV A <br /> Relinquished By: r. D e: Time: Received By: Dat : Time: <br /> (Si nature) Z4(' (Signature) UA— ,K ( , 5 -f I D J�j, 33 <br /> Relinquished By: Date: 'rime: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> n..;,.1,,,,1 ("I'll Va11nin Fila n• i i n ."i. <br />
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