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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WOODWARD
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9909
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2900 - Site Mitigation Program
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PR0508168
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Last modified
5/26/2021 1:00:21 PM
Creation date
5/26/2021 10:27:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0508168
PE
2950
FACILITY_ID
FA0007971
FACILITY_NAME
KARLSON TRUCKING (FORMER)
STREET_NUMBER
9909
Direction
E
STREET_NAME
WOODWARD
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
9909 E WOODWARD AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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-4ill To: —r— <br /> 00AINDF. CUSTODY RECORD <br /> 8herwood8071 x 93der Avenue <br /> P.O. Box 937 <br /> (� dHilmar, California 95324' <br /> b S (209) 667-5258 Attention. age Phon : P 3 o f 3 <br /> C O'R` P,O R A 'T 10 N FAX (209) 667-2581 <br /> STwO oZ9 3 <br /> Job Number ;r. JP.O./ Pro Name i z <br /> Samplers:(Signa%pA,,jj c Des Site Address <br /> w ,� �waut�c I-V <br /> SAMPLE SAMPLE No. P L� <br /> DATE TIME SAMPLE.INFORMATION of REMARKS <br /> NUMBER TYPE CNTRsI(��IC <br /> B-94(!�to tDLS / Ltflu►Po51tG <br /> Pg-CoE U -9�I Fpr PPs-b��' <br /> ?9--7e. (9' Iu / F)B--red <br /> fes-S (v' )32D lAA 10 1 <br /> P8-9 b� 1355 / /ease vE .� 1,tit <br /> inqu/ls�h�ed'By:(Signature) Date/Time Received y:(Si nature) Date rune Ship Via <br /> Relinquished By:(Signature) Date/Time theceived By:(Signature) Da"tedime <br /> TURNAROUND TIME: <br /> Relinquished By:(Signature) DateTme Reoeived By Laboratory Date/Time ❑24-HR ❑48-HR ;M 5-DAY ❑ 10-DAY <br /> DISTRIBUTION:Original-Accompanies Shipment: Canary Copy-Sherwood Pink-Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />
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