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ARCHIVED REPORTS XR0003030
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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301
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2900 - Site Mitigation Program
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PR0508132
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ARCHIVED REPORTS XR0003030
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Entry Properties
Last modified
10/10/2018 8:54:10 AM
Creation date
10/9/2018 3:04:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0003030
FileName_PostFix
XR0003030
RECORD_ID
PR0508132
PE
2957
FACILITY_ID
FA0007953
FACILITY_NAME
CHEVRON #9-5775
STREET_NUMBER
301
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04514002
CURRENT_STATUS
01
SITE_LOCATION
301 KETTLEMAN LN
P_DISTRICT
004
QC Status
Approved
Scanner
TMorelli
Tags
EHD - Public
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• <br />• <br />S E C 0 R <br />CERTIFICATION <br />"I certify under penalty of law that this document and all attachments were prepared under my <br />direction or supervision in accordance with a system designated to assure that qualified personnel <br />properly gather and evaluate the information submitted Based on my inquiry of the person or <br />persons who manage the system, or those persons directly responsible for gathering the information, <br />the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I <br />am aware that there are significant penalties for submitting false information, including the possibility <br />of fine and imprisonment for knowing violations " <br />Bob W Jackson Jr <br />Staff Geologist <br />SECOR International Incorporated <br />I IChevron1957751Penodic Mondonngl0 & MlReportsWonthly0ischarge Reports120021February 2003 DR doc <br />
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