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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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p : <br /> 7 7 <br /> '{ y <br /> Sample Identification/Fields lain of �u zody R6ca�rd - 4 <br /> DELTA <br /> ENVIRONMENTAL CONSULTANTS,INC. <br /> Project: H EL L- OIL- — E-20 !.y/. 041191-T-Ee 'VVI STUC.h_tDAI r cpr <br /> Shipped by: _ <br /> Shipped to: &t-ZEiYI r _Z465 Attention of. L <br /> Comments: GN= - n'iAI r D — L'O CLAACkE ObI6c 011 Hazardous materials suspected?15. <br /> p) 01 <br /> }1 /'� . , <br /> sis .41 <br /> Point Location Field iD# Date SType OMUInsn Remple No.of quired 00 <br /> _)01L P <br /> 30A71N4 .2 d l n Tania �-,plc_ )3TC-x, Teff > l n <br /> .- �. <br /> 5B3r3 583 If <br /> .XSIL ��e//1,'C .S_ NEW T/•�Nk S 43 5` - 3 �. 9 � �� � Ir ' <br /> A`/L ,t'_- ,e//L%P 7 SS 7 <br /> Samplers)(signature) <br /> E�PiN C) C OLL 2L, ` �i <br /> Field ID Relinquished 6y IslGneturel Received by (fipnst++rs) I baternms comments <br /> Seated for shipment by:(signature) P Date(rirne Shipment method: ' <br /> Received for Lab by:(signature) Ilk Date[Tima a 1 3� Comments Qv�, <br /> A <br /> Receiving Laboratory:Please return original farm atter signing for receipt of samples. � <br /> - 4., <br />
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