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ARCHIVED REPORTS XR0003031
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 XR0003031
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Entry Properties
Last modified
10/10/2018 8:54:24 AM
Creation date
10/9/2018 3:18:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0003031
FileName_PostFix
XR0003031
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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� S (' E C Rp <br />rs� C O <br />CERTIFICATION <br />• <br />• <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 />11Chevron1957751Penodic Monftonng\O & M\Reports\Monthiy\Discharge Reports120021January 2003 DR doc <br />
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