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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 ; <br /> CHAIN OF CUSTODY Page_ _of__/_ <br /> Datta Environmental <br /> ////sDelta Consultants,Inc. LABORATO'LYSAMPLESSENTTO:� <br /> Environmental 3330 Data Drive,Surto 100 <br /> Consultants,Inc. Rancho Cordova,CA M70 �� tl�r tcc✓' <br /> 916538.2085• FAX 916/638.085 f // fiR. <br /> PROD.No. PRC.IECT NAME: 614A TC IA.I� j'LL Analysis Requested A ADDRESS; rel r/P�✓� " <br /> y� PROJEl:T LOCATION: <br /> "V�-S86 bZo ew- CNAKT-ell• WA SiaC>`r�N CA � ContalnorDescripiion v <br /> PROJECT MANAQER: f; d� M z t1••r�A[ <br /> SAMPLERS(Slpnafvc f � z s� l'/1 .. 117] ..— Z� <br /> ,� c i <br /> O y ` ��zzs. <br /> cc y 1#6 <br /> TORY SAMPLE ID DATETIME SAMPLE SAMPLE LOCATION REMARKS t ;, <br /> SAMPLE ID TYPE z 1VeZ�^-'h -A-,c tiff a 3 <br /> rR <br /> (x1 � k <br /> W-10-30 71;!!1 Or1Sr j rr it u f f err c�t ID`15�iy a ' i <br /> fqw-/0-% 1 ght lot <br /> �•J� r'4 V <br /> � 3 <br /> 7-07M <br /> tureJ Dala Tlme Racelved by:(Signature) Rsllnqul had by:(Srpnafure) pats Time Received by:(Signature;�- <br /> cj p/ ' <br /> Rellnqutehed by:(5lpnature) <br /> Data Time r nto pnature Dafe <br /> me, T maroundTlme: "A <br /> Sealed for ahlpmeM by:(alpr+atu») Datsrflme 01" <br /> 7t -!f /d; Shipment method: <br /> f <br /> SamplerCommeMs: <br /> Laboratory f pmmerds y <br /> Condlilors at Samples: rI <br /> White.Return with analytical results to Delta Yellow:Laboratory Copy Pink:Delta's Copy ' <br /> «i <br />
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