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ARCHIVED REPORTS XR0012563
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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620
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3500 - Local Oversight Program
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PR0544216
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ARCHIVED REPORTS XR0012563
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Entry Properties
Last modified
3/5/2019 1:33:30 AM
Creation date
3/4/2019 2:42:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012563
RECORD_ID
PR0544216
PE
3528
FACILITY_ID
FA0003738
FACILITY_NAME
CHARTER WAY SHELL*
STREET_NUMBER
620
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
Stockton
Zip
95206
APN
16504007
CURRENT_STATUS
02
SITE_LOCATION
620 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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t' ';,� fns•„� ti p .� <br /> h�. <br /> tl <br /> R �� <br /> Sample kfentificcirin� y A <br /> eld Chain of Custodccord <br /> DELTA <br /> °a <br /> ENVIRONMENTAL CONSULTANTS,INC. <br /> project: &20 c fa I Lh.s fa'.t. iU <br /> Shipped by: Fit <br /> --- --- '� -. : <br /> Shipped to: S o' n L y <br /> Attention of: <br /> Comments: Hazardous materials suspected?(yes fno) 3 <br /> T <br /> Point <br /> Sorn;k No.of AnatyWa ' 4 <br /> location F)Wd1D v Gat* TYPO Contekwo Regutred <br /> C lia►rlGs SJ, 1 3-�o-ryn 3-.to_70 hip L 'rx TPS-/- <br /> .�1►-t1-- �fwr..fY-kJ 5 -r� Z 7:sr.¢.... — �• T z <br /> 3-Z 1-G10 .tai-iso o BTx, TPS- n' <br /> 3 kFC-VI.4 W skGc Bklc iA,.l� .. L �—TA- 7f *Y"vi- <br /> ry . <br /> A fc. SQL /11Hl- �!'aoPi•+ !T o / _ T< �la�J/nL�Z sk <br /> 1 — " A=,,Le <br /> � <br /> Satnpler(s)(signatur©) <br /> Ft*td ID AallnqutFt»d br,t+lWret+re) Rocehred I Data Commada <br /> All *jgbovc- <br /> 2eled for shipment by:(signature) f]ate/Ttma Shipment rnaU.od: <br /> Rateived for Lab by:(signature) Date/time Corrurtents <br /> Y 4T <br />
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