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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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0 0 0 <br /> 2795 2nd Street, Suite 300 <br /> /FFDavis,30 974800 <br /> ANALYTICAL LLC Fax 530 297 4808 Lab No 4 S CI Page / 01 31 <br /> Project Contact(Hardcopy or PDF To) California EDF Reports R Yes ❑No <br /> -St-- Chain-of-Custody Record and Analysis Request <br /> Compa /Address Recarr mndedlMnat to tl3seecdorr <br /> P14 � ' S^ Sampling Company Log Code <br /> WOO b ftA I b64!>F CA- <br /> Phone <br /> �' '� M Analysis Request � <br /> Phone No FAX No Z09 Global ID m <br /> 6 - 9yzr 3(0 Q— <br /> Protect Number PO No [E�DFDeliverable To(Email Address) X W m o <br /> mo W w m aC E <br /> PN <br /> Name Sampler Signature +ogl �' m m o 0 <br /> tu <br /> C? p <br /> S Q = N f0 J N <br /> Project Address s ro Sampling Container Preservative Matrix m C o E%6 3Vco] <br /> L pqq Gam_ O s c o z LL <br /> 10 <br /> U I DatTim . xp X tOil 0 m m OO aSam le Designation m W <br /> o Vm Nz <br /> Owl <br /> 31, E <br /> 6 2 ogrD <br /> dw 571 M16 Y, <br /> r ftiO4 e- �lJ <br /> .57 <br /> f w S— y a3 1 ya I <br /> Relinquished by a Date ima Received by Remarks <br /> g/xil03 <br /> Relinquished by Date Time Received by <br /> ,�1 1 <br /> <_L 56/lor <br /> Relinquished by Date TimeReceiv y boratory ( Bdl to� 6- , SII <br /> // 1 T <br /> Distnbutron White-Lab Yellow-File Pink-Onginator Fomis/coc 121001 th9 <br />
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