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ARCHIVED REPORTS_XR0009376
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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3049
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3500 - Local Oversight Program
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PR0545717
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ARCHIVED REPORTS_XR0009376
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Entry Properties
Last modified
11/19/2024 3:45:51 PM
Creation date
6/3/2020 11:15:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009376
RECORD_ID
PR0545717
PE
3528
FACILITY_ID
FA0003912
FACILITY_NAME
MARTINIS BAIT & TACKLE
STREET_NUMBER
3049
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
02514016
CURRENT_STATUS
02
SITE_LOCATION
3049 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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LSauers
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EHD - Public
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Now Con r Earth Technologies, Inc1 _06 <br /> CHAIN-OF-CUSTODY <br /> 7 [121663 Brian Lane l 125 N Golden State Blvd , Suite 11 F-1t 108 C Airport Blvd <br /> O <br /> P O Box 3095 P O Box 3448 P O Box 30035 <br /> Sonora, California 95370 Turlock, California 95381 Pensacola, Florida 12503 <br /> (209) 532 0361 (209)668-9234 {904)477 0454 <br /> FAX (209)532 0713 FAX(209)668 9248 rAX (904) 477 0534 <br /> SHIPPED TO: SEND RESULTS TO <br /> G Eo A N A L` _V_l C-8 L_ NAME. `D�,i e_- <br /> OFFICE. –r-j' loc.V_ <br /> 1 <br /> ❑ PLEASE FAX RESULTS: PROJECT -MA1—, Lis F, <br /> PROJECT NO <br /> NO v/ Verificationon <br /> �' <br /> 5� <br /> SAMPLED BY of �' b <br /> Con- �� t <br /> (Signature) tain- <br /> Date Time Sample ID ers �L' �'/ REMARKS MISC <br /> -51zi �q 12'yS PH 1`15 R- B-1 - 9 4 k k 1 Q <br /> SI2-1 193 100 Pitt 14sK— $- I - 14 s ' <br /> 5 jet 193 to do A-M. )45 - IB--Z -- 8 S ' � <br /> 51 -I 93 101.goA+1 14S R-Z3---- ly <br /> sl�,t173 1130A,K, 1458 - a-3 - 9 i 1 c) 53 <br /> s/21173 W50 A Fi 145R - -L3-3 - 1s.5' I � 0Z <br /> 511 /73 201'NI, 145 R ` 1_ �- r� l ( C;1'n-5 <br /> s/x1193 20PM, IitSR-> -T -2- -35 ' 'Ec).td <br /> zt- <br /> SI,Zl 193 `}'15 PM t HSR — T 3 — 0?P <br /> Relinquished By Date Time Received By D4ec Time <br /> (Signature) S1zt 1q 3 _6"'_30 PH {Signa(ure) I -?l9,41 S'S <br /> Rthaqutshed By Date Time Received By Date Tine <br /> (Signature) (Signature) <br /> /Z <br /> Relinquished By Date TimeReceived By Date Time <br /> (Signature) (Signature) <br /> Original-Send Yellow-File_ __-- -- Pink-Log Book aAROU OR/WiiCs <br /> 12091 521366r FORM JeaQ <br />
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