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ARCHIVED REPORTS_XR0012863
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_XR0012863
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Entry Properties
Last modified
7/22/2020 12:07:12 PM
Creation date
7/22/2020 11:59:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012863
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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LSauers
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EHD - Public
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MIN OMODY r <br /> Nectl43, `? nz . <br /> h-o�rs t faze 1 <br /> Staplers: Plike Tq nolim <br /> Ware ant Affillationt teedshill-11erY enhoff, Inc. <br /> � I <br /> Signature] <br /> Shippm tot Superior Analytical <br /> Shipped by, Leedshill-fierkenhoff. Inc.Date Shipaed: I <br /> Nice <br /> —1385 Fairfax Street. Suite D _ 30.3 Second Street. Suite 880 North <br /> Wdress �FirJdress� --- --- -_—_-- <br /> San Francisco. CA 94124 San Francisca CA 94101 <br /> 415/ 647-2081 (415) 243-9980 <br /> � Tele;rt;or�e Telephone <br /> - -' L7S.L.4C4:iiLJ-J`LS33�7SL:3929-_L'RG2SA T._L$3S3L�.--...-.'a7Cia T.l3 SS.L�pl�3L34 <br /> Collectcrtg Sa-ple 5as�ple IJu. of <br /> Salple 43, locat--io_n^ -D—at_e- Time_ T pe Containers Analyses Requested Nu <br /> � Perri,"s <br /> Dom! F f �3 5D y �� <br /> 8-7-90 sc3Z3 3S15 <br /> ; ! Bc�^�n Z3f) r- U0 SOr � �i �-Lj� zoo <br /> a--- -- __— ._---- --------- ----------------------------- ----- -------------—_----------------- <br /> �__a -- --- ------- _,,.........—----------------- _..»------»---� -- ----------- <br /> --- - ---- ---------------------------------- <br /> —• ---------------------_----•-_-------- <br /> .....�s�^mss.-y„icx-•_- :=x=L <br /> Felimvisr c-d byt Date/ Tice Received by r Date/ Tine Rel:nou:shed by: Date/ Tme pec-m e3 b?: Date/ Tire <br /> ISrLra:urcl f', i nak�c, e] J' g I (Signature) <br /> 4 / A� SII, p, i�9017 <br /> (Signature) i f <br /> Pelirq,is�rd bf: Date/ Ti:e Received by: Date/ Tiae - Relirnaishcd by: Date/ Tie, . Retrive, by- +Date/ Lie <br /> Isqn-ature) (Sigrature) ISianaturel <br /> I {S:anaturel <br /> Peiirquts5rd by: Dale/ Ti se Received by- Date/ Tirce 11' Relimuished by: Date/ Tsze Retct�rd br: +- Me/ Tiie— <br /> (Sigu Lure) (Sigrature) ( Istonature) (Stanature) r <br /> filet ((M.rcd <br />
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