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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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4907
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3500 - Local Oversight Program
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PR0545865
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Last modified
7/21/2020 10:01:10 AM
Creation date
7/21/2020 9:57:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545865
PE
3528
FACILITY_ID
FA0009358
FACILITY_NAME
COZAD TRAILER SALES LLC
STREET_NUMBER
4907
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710068
CURRENT_STATUS
02
SITE_LOCATION
4907 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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PROJ.NO. PROJECT NAME <br /> 3S'057o� COVa. ,. ,� <br /> NO. ! '� 2 <br /> L.P.NO. SAMPLERS:(signature) f <br /> OF A. <br /> CON- � <br /> DATE SAMPLE I.D. TAINERS REMARKS <br /> y� <br /> I <br /> f <br /> Rel' quished by: r na(ure) Dat /Ti a Re ived ;(signature) Remar s ^ <br /> I b 3b G,-� 4�� h� <br /> Relinquished by: gnature) Date/?me ROCBIved by:(signature) <br /> Relinquished by:(signatum) Date/Time Received for Laboratory by: <br /> (slgnelure) <br /> Canonie Environmental,212 Frank West Circle,Suite A,Stockton,CA 95206 <br /> No 17495 <br /> SAMPLER <br />
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