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ARCHIVED REPORTS XR0012553
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2908
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3500 - Local Oversight Program
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PR0544111
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ARCHIVED REPORTS XR0012553
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Entry Properties
Last modified
2/7/2019 12:10:23 PM
Creation date
2/7/2019 11:05:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012553
RECORD_ID
PR0544111
PE
3528
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
02
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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CHAIN OF CUSTODY RECORD <br /> BC Lop Number <br /> Client nerve. Job number <br /> ARCD 3173- OS Analyses required <br /> Project nerve Da ' <br /> / X e-0 <br /> Projec �anaper P Sam lerGi �L 3 f <br /> p Meas-r�z� Wull �r` o <br /> 7—spa <br /> Sample <br /> )."a <br /> d sampled <br /> Composite Sample description Number P bBt <br /> number sampleampled or of tis` a Remarks <br /> Ctab � containers <br /> I�-�• 1-ly-8"8 p <br /> Sao <br /> 1311D-f- / t!•85 Cbr !D. <br /> lSrfD-!•I 1 21•Sjf G <br /> 5.5-6,0 , .sol <br /> pN� Cr 1o•s- Il,o r tar <br /> �Jlt <br /> LL <br /> - i <br /> 1� <br /> $I <br /> f <br /> ! Signature Company Date Time <br /> Relinqulped.by <br /> i-2s-Yg l y5 <br /> Received byand Z5.83 A'45 r `' <br /> Relinquished by f� _ / � /� 7�r 9.14V <br /> Received by <br /> Ralingvirhrd by <br /> f <br /> 5 <br /> Received by <br /> BROWN AND CALDYifELL Analytical Lri oratories Note: Samples aro discarded 30 days after nrults an reported s3 <br /> ❑1255 Powell Street, Emeryville,CA 9460$ (415) 428.2300 unless other arrangements are made. <br /> ❑ 373 South Felt t]•"' Avenue, Pasadena, CA 91105 12131 681-4655 Hazardous temples will be returned to client or disposed <br /> . client expense. <br /> Y <br /> y <br />
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