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ARCHIVED REPORTS XR0001830
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CHEROKEE
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521
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3500 - Local Oversight Program
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PR0544430
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ARCHIVED REPORTS XR0001830
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Entry Properties
Last modified
5/7/2019 2:29:55 PM
Creation date
5/7/2019 2:17:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001830
RECORD_ID
PR0544430
PE
3526
FACILITY_ID
FA0005370
FACILITY_NAME
PARMAR TEXACO
STREET_NUMBER
521
Direction
N
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
521 N CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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M M M M M 10111111 Ittttt <br /> 2795 2nd Street,Suite 300 <br /> .�� Davis,CA 95616 <br /> Lab' 530297 4800 <br /> ANALYTICAL�.l.0 Fax 530 297 4808 Lab No �5 Pape lof- <br /> Project Contact(Hardwpy or PDF T J Callfomla EDF Report? ® Yes ❑Na <br /> Sf �. Chain-of-CustodyRecord and Analysis Request Ae� G . <br /> �gg ��.� butnat b fhis <br /> Sampling Company Log Code tr Analysis Request <br /> WoOb$e I 95-z m <br /> } Phone No FAX No Global 10. <br /> 209-30 9yz, 209--W9- PYSS <br /> Project Number PO No EDF Deliverable To(Email //f/$yes). <br /> PWNerne �J Sam nature ' �' .- c m $a w t a <br /> M�,e Xr¢c O W uS W <br /> Project Address Sampling COntst ner Preservat#vti Matrix ,. <br /> C p1 j <br /> Sample Designation Date Time <br /> W77!- 04 t4j 1 3L 01 <br /> — M W3 , X 03 <br /> T-- l(w y e �f DLI <br /> 0 c <br /> Reli uished by yto Time Reoeived by Remarks <br /> 4 <br /> Relinquished by - <br /> Relinquished by Dale Time Received by Laboratgry Bill to <br /> C 1I <br /> OraL&AM WI'ute-Lab Plnk Orginetor Forms/coo 121001 fhg <br />
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