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Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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14900
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2900 - Site Mitigation Program
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PR0009023
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Entry Properties
Last modified
11/19/2024 3:48:22 PM
Creation date
5/7/2020 4:00:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0009023
PE
2960
FACILITY_ID
FA0004091
FACILITY_NAME
TOWER PARK MARINA
STREET_NUMBER
14900
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242
APN
05503015
CURRENT_STATUS
02
SITE_LOCATION
14900 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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CHAIN OF CUSMDY RECORD <br /> BCA Log Number <br /> Client nam <br /> ' , / SF Protea a PON ���� <br /> Addreu V pC GV'CXi'L_ <br /> +'� �35�- <br /> LabTie• Sampled by . —. Number. <br /> Sample Date Time See key 01 U <br /> number sampled sampled below Semple description °D^tabWf° Z� Rem <br /> S ' <br /> 5 3 J �I'lGzl� /O <br /> 693Sa -1- <br /> s MAJ 3 X93 -oma-s� - <br /> 51P-7A .2.0 ' E93 <br /> s iY1t,) 3 25 9 -o -S a <br /> etc <br /> �nqdhdby m <br /> 5ipnatwe Prim Nae Company Date <br /> Data TUoe <br /> Received by <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by Laboratory <br /> 3 C ANRLYTICAL Nolo:Samples aro discarded 30 days d1w n=uts aro roomed uni"s other arrarlpemwtms aro aanda 'KEY' AO—Aquswa NA—Nonaquomm SL—Studpe <br /> 1 Hazardous samples will be rchvmd 10 diem or dwp=q of al ceus a qww <br /> 125$Pbweil SUM.EmeryviGe,CA 9161D8 (4157 428-2500 - orGW—GrouMwatw SU-94il OT—Other PE—Puboln <br /> ._ 1 (ele,_...3i ]stoma. fir.. 1 ? 1 3 ] 1 J ] 3 J <br /> 1200 Pacifioo Avenue.Anaheim.CA 92806 1714)7)78.0113 _- <br />
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