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REMOVAL_2000
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0232264
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REMOVAL_2000
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Entry Properties
Last modified
3/4/2021 4:58:34 PM
Creation date
11/5/2018 11:13:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2000
RECORD_ID
PR0232264
PE
2381
FACILITY_ID
FA0003808
FACILITY_NAME
JIFFY LUBE #1478
STREET_NUMBER
1209
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
08818032
CURRENT_STATUS
02
SITE_LOCATION
1209 E HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\1209\PR0232264\REMOVAL 2000.PDF
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EHD - Public
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A N A L Y T I C A L 2000090726 09/21/2000 <br /> ! Chain of Request <br /> LABORATORIES <br /> BSK S T:�T: Standard � Chain of Custody <br /> 921008 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 1-jlitiluu.iaurSuutlnsno. C.,A yi'n6-I6_'i q egrye Analyses <br /> (55r1l <br /> 49--28N,". 400 8---,4 i If) (5591PAS 485-09 <br /> R n inrNian Ph r I OJ <br /> (Reu,�amr. rpo w <br /> Uf2.s14 CN(i,A) - '.✓ � Ste 12,c%/�r2l,� 7yc;tf 4 •ti 4/46-3J3- 924 <br /> Aedrrs Pnrir...Qunte ur IN,I FAX i <br /> 16Ef, Yf6 >3- 521 (i <br /> Cil,.91Lip Copy u, s,Kten:s <br /> FIAB use only Sampled Irm <br /> ��e iC/iC ACt., --�p/,yvS o,J Comment or � v <br /> Dale 'Time Station Code M <br /> Pk rypr t Sampled Sampled Sample Description/Location �`� V <br /> 7 <br /> :l2 V- Ir- <br /> - 'i P.;t- <br /> -- 'iP.;t-_ Lab C'.-Pcii >L x k 3 0 <br /> ala i� zv s "cnp y_ >L ` I p <br /> 111 O a <br /> Matrix type:L-Liyuid 5 Solid G Gas Addirion:d Srrvicae: Additional.,mice,Authorized by: Payrnent Received with Delivery <br /> lypr of Hazard.Associated with saln Pit,,; Rush Prtorio, 11-21)p) I I-51)-y Date: Amouno$ <br /> 11-Q(Data pae'kage:Level 11,111 or IV(eirde one) <br /> Check M lni[iak <br /> (I-Formal Chain of Gtstndy (Signara") Receipt M <br /> Signature Print Nam, Company Date Time <br /> ReerivrJ Re ed ny: <br /> _\ .c-/�N20 G•�/lfcCo,./ �,S�- - S� . W-?tn-vD �f:pct <br /> Receive' , Relinquinhrd by: <br /> Rrcairrd i 8elinyui,hi hy: <br /> RecrivaW <br /> roar <br /> Notice'.Payment fo ervices and.;as no herein are due in lull within 30 day,from en inv d.If not so pail,account balances are deemed delinquent.Delinquent balances are subject to monthly serviceire billing charges and interest cal- <br /> culated at 1 1/ ° er month,18%per annu ©SK d Associates shall be entitled to recove on deli usm accounts,costs of collections,including attorneys fees incurred prior to or in litigation whether concluded by judgment,settlement,compromise, <br />
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