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ARCHIVED REPORTS XR0010502
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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749
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3500 - Local Oversight Program
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PR0544218
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ARCHIVED REPORTS XR0010502
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Entry Properties
Last modified
3/5/2019 11:19:03 AM
Creation date
3/5/2019 10:23:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010502
RECORD_ID
PR0544218
PE
3526
FACILITY_ID
FA0003870
FACILITY_NAME
SRH FOOD & GAS
STREET_NUMBER
749
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734309
CURRENT_STATUS
02
SITE_LOCATION
749 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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- <br /> K KAPREALIAN ENGINEERING, INC. <br /> M <br /> CHAIN OF CUSTODY <br /> SAWLER V'�► SITE NAME i ADDRESS I ARALTSES REQUESTED f TURK AAMM TIME, f car, <br /> Iltl TVESSING J MVCV <br /> 1S � ����4� C�"'I- <br /> ILL! 1 Ie f I I f j <br /> SAWLE <br /> C I I C J I J I �Q• I J } J� I'� f l I I I I <br /> I C I I I I of I SAWLIMG I I� I f <br /> ID Mo. J GATE I TIME J SOIL IL�ITEAIGRA6IC0W� WW.l LOCATIOK I I I I I I J <br /> 1 co <br /> 9 f [ C J 1 I J I I I C I J J I I <br /> I <br /> I,I <br /> J C [ [ I I I I I l I I f I C ! C I <br /> I I I I I 1 I I I C I I C I I I C I a <br /> I � <br /> 1 I j I f C 1 f I I I i I I I I I I r <br /> J I J i I I I C l I I I J I I I i 1 <br /> E J <br /> C f I I C I ! I I I ! J I I J I i <br /> IRt rnquished rgnature I Date/Travel I Recel wed by: (Signa r} 1 The following MUSt 9E completed by the laboratory accepting samples I � <br /> I I C r 1 for analysts: f z <br /> r <br /> 1. Kave all samples received for analysis Lwin stored in ice? <br /> (Relrrglrshed bir: 5rgnature) I Ratt/tim�e I teceived bl'; (Sjgnature) <br /> hitt samples n6in refrigerated until arriyteP <br /> IRrlirquisbed try►: (Sagnature) Oateltrmie leceraed <br /> � I by. (Signature) 1 3. Did any► s�nples awed for arialytra AaMe head space? <br /> I f C I ! <br /> A. Mierrr samptes In appropriate maerners and property packaged'+ I <br /> IRetirqurshed by. (Signature) I Date/?'me ( Received bit: (Sigdature) <br /> i <br /> I ISignature Tit . tC I m <br /> e <br />
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