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ARCHIVED REPORTS_XR0012660
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WILSON
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102
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3500 - Local Oversight Program
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PR0545890
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ARCHIVED REPORTS_XR0012660
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Entry Properties
Last modified
7/22/2020 11:15:36 AM
Creation date
7/22/2020 10:58:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012660
RECORD_ID
PR0545890
PE
3526
FACILITY_ID
FA0025958
FACILITY_NAME
ROEK BROTHERS CONSTRUCTION
STREET_NUMBER
102
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15502065
CURRENT_STATUS
02
SITE_LOCATION
102 S WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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CMIR(3F CUSTODY RECORD, <br /> O <br /> pra, ti 1l0. ? 1 Z <br /> I <br /> Project Naos <br /> ,y <br /> Sarplrrst G.S. Ilakana N1 1 r Affillation: Leedshill-ilerkenhoffLinc. <br /> (Nice and -- <br /> f: •ti <br /> 5ignature3 ' ....�— <br /> Sh(ppcd tot �_-�r(�� _ ✓! i4al Shipped bye G.S. / <br /> _ Nakano _ Date Shipped: Il � n• <br /> Mak — — . <br /> Name <br /> _ _303 Second Street, Suite 880 North - E <br /> Address <br /> Address <br /> San Francisco—CA 94107 Rt <br /> J—.;--(415) 243-9980 <br /> Telephone Telephone <br /> I <br /> • C't-`=_—Z=xxi^1'�E¢¢Sxt2iC•••r.-.:y-.�..YGC�.L'--x----x3:Sair�-w..�.l2s[_�:.�YiY¢ii�1L¢¢La.SLxZi[.iY[PS itSiiY9lS]e=:3Ys�iap t_`irsaii as as.arii5.tl tSr <br /> Collectors grple Sauple 110. of <br /> 5anple!>,' Location Data Ilse I Type Containersl Analyses Requested <br /> - _ ear �=ar_z:xta earsstrems¢[x:.acce=r*za:z�- ert�[¢x:.exz-saessaiC1ra:tIIaYtxra[F�[r.^,aLY teY s?Csaa - <br /> i[ �ccns_Y!'JtSxx:zr•.a,Yzz[aaaa f[[ss[ra[za�e . <br /> �8 -1,51 P " , ,►- -� <br /> L �I� /R Z�'�5 �L _ _1_ • -�—��L��� �`oRs1t_'�'�rrl L/'3Drr✓tal '+''F <br /> Q tf-�t'B�i•G5�, 5� tr✓l '� 9' 12:H� So;r -- -1 13 i:(`�E _ � 5�u ��"'.�_r -- ��'.� <br /> FEE <br /> � - T ------•-7' �"'.�.� yt rear .�— <br /> met' l ✓�t,�_ :.max Y%•F E}T'�"' _ - —r✓1 noPl"1+4 _— - �„'_- % <br /> R <br /> naxR:^�-[at 4=-� [�• ...•.—__ -�.�I----- • �-- -- � ....„ter�. ...`. --.�-..... <br /> zees We=_xa:rci-ssz:r_saa[su xcx rrrmi[aamsxe z¢aszx a:-_xu�x a.�s:-____-"' -----syyz-s-----------:---rlst■ <br /> Reliroluished bye Date/ Tice Received by: Date/ Tise Relirmvisbed by: Dale/ Tite Retrived by: tate/ Tire K <br /> tS,igmlurel 15ignalure3 {Signature( ISigrulurel ?� <br /> E TobNGcrn�, <br /> Rellrgvlshed byt Date/Tixe Receivrd byi Date/ Tiat Reiimuishcd by: Date( Time + peceired bye Date/T:.e <br /> : . <br /> tSignalun} I {5lgnaturt} � eSiorulurel j lSigniluref � .��,�`-.�` <br /> Rtlifolvishcd by: Date! Tire Re.-rived by: Yate! Tine . Rrliravished by: pate/ Tice trued tre: .Date/ like <br /> 4Stgnatvre} I ISignalure) t56gnaturel it 1 <br /> I + <br /> flfei If.2..�1.rtd q• k <br /> ' iS.�.• fIw411 f�.l, JIZ f'�I.il • <br /> � E <br /> { <br /> q <br />
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