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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
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Tags
EHD - Public
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.4 <br /> t6 <br /> Y� <br /> CHAIN OF CUSTODY Page / of <br /> Ni <br /> Dena Environmental t � <br /> 3339 Data Drive,Suite 199a Consultants,Inc. LAORnCRATORY SAMPLES SENT TO: <br /> „k <br /> ental <br /> Consultants,Inc. Rancho Cordova,CA 95670 -� ���?C2lLI iF' 3kk <br /> 91"3B•2085• FAX 9161638-8365 <br /> PROJ.NO, PROJECT NAME: ADDRESS: <br /> p ,c Analysts RequastoE d� <br /> Q-8?-6&.6f PROJECT LOCATION: cZ ConialnerDescription %� ins ,JfIP Y W ,•1 <br /> PROJECTMANAGER: ;�Jkrjft Pr <br /> g7 <br /> SAMPLERS{Slgnarun) t �� LT L� � <br /> Z <br /> - z�•�:, <br /> o ` Jr <br /> LADORA- m ! <br /> REMARKSi;'=' <br /> TORY SAMPLE ID ATE TIME SAMU SAMPLE LOCATION � � �; <br /> SAMPLE ID TYPE i I <br /> fg <br /> yf�ua/1t![ ° <br /> I <br /> RIN <br /> 131 1 02- iiia 5vti1tAL. Z [O q4`0 <br /> �€ <br /> mut- � est.a waadPiemP i3-/q�r�/s 3 � Lk <br /> z ✓ ✓ ,J <br /> F 141 l(� o f ' ov << A'7 <br /> k . <br /> f n uire"rcuAa't4,11 6/o46' <br /> ✓ ►� / <br /> 4- 1 <br /> jr <br /> 'N <br /> �x <br /> «, :x <br /> y:( fu ) Bale Time Rewlved by:(Slynafure) Rdlnqufah by:(Slpnafun Dale Time fleteired hy:(Srprtaruly) <br /> � <br /> /j. <br /> Rett ! (Slpna[ nr) Dai Time aur or Laboratory y: ynatun Date Tlma Tumaround Time: <br /> w <br /> Sealedfor shipment by:talrnaiun', paleRlme �I3�Igr 45 Shipment method AOM ! � <br /> Sarpplar Commerga: Laboratory Comments: <br /> 21L aiv 5- <br /> onditicn of Sansples <br /> White:Return with analytiv;i results to Delta Yellow:Laboratory Copy Pink:Delta's Copy " <br /> �a <br /> 3 I€ <br /> r <br /> .•Cr:'. - to .�Ft a .£d.�,, ,+ .._ <br />
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