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ARCHIVED REPORTS_XR0005504
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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14800
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3500 - Local Oversight Program
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PR0545626
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ARCHIVED REPORTS_XR0005504
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Entry Properties
Last modified
11/19/2024 1:50:28 PM
Creation date
4/29/2020 1:38:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005504
RECORD_ID
PR0545626
PE
3528
FACILITY_ID
FA0000957
FACILITY_NAME
LATHROP GAS & FOOD MART*
STREET_NUMBER
14800
Direction
S
STREET_NAME
STATE ROUTE 99
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
19702004
CURRENT_STATUS
02
SITE_LOCATION
14800 S HWY 99 RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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1� <br /> EMCON ASSOCIATES-Sacramento <br /> WATER SAMPLING AND ANALYSIS REQUEST FORM <br /> EMCON PROJECT NAME <br /> +►aaociArea <br /> SCHEDULED DATE <br /> SPECIAL INSTRUCTIQNS/CONSIDERATONS Project <br /> Authorization <br /> Project No _ <br /> Task Code <br /> Send Results To <br /> Well Lock <br /> Ntjnlhp <br /> CHECK BOX TO AUTHORIZE DATA ENTRY Site Contact <br /> Well Number Casing Casing Depth to Name Phone# <br /> or Source Diameter Length Water <br /> Identification orches test ee;lANALYSES REQUESTED <br /> Laboratory OC Instructions: <br /> NOTE: IT IS VERY IMPORTANT TO INCLUDE A COPY OF PROJECT PROPOSAL <br /> AND WELL LOCATION MAP OR SKETCH WITH THIS REQUEST <br /> EMCON FIGURE <br /> Associates WATER SAMPLING AND ANALYSIS REQUEST FORM A- <br />
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