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ARCHIVED REPORTS XR0001837
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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 XR0001837
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Entry Properties
Last modified
5/7/2019 2:27:45 PM
Creation date
5/7/2019 2:19:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001837
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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EHD - Public
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MATRIXMATRIX ENVIRONMENTAL LABI�ORIES ' (916) 635-3962 FAX (916) 635-9331 CA@-LOG-IN <br /> CHAIN OF CV NO <br /> 03 <br /> PROJECT I D ANALYSIS <br /> A? Y _ <br /> PAGE CLIENT CHAIN OF CUSTODY# <br /> OFZ <br /> a e o <br /> O ¢�� a° n� a c <br /> LAB I D # SAMPLE I D DATE TIME MATRIX U lav+ ¢� 2� ties ,�a� �v �g GAO <br /> SAMPLED SAMPLED 0 ,� �¢ e "�� a ,� 4 <br /> Aczo p 1 COMMENTS <br /> 35/o <br /> X X <br /> 4 414 14o 8 o r/1 o U 3 X X <br /> 9 , 7 Z <br /> y Le <br /> elinquished by (Signa ure) Date/Time Received by (Signature) Sampled la i` /-t .F7"[�����f'�✓rr Qo%f� <br /> �► I <br /> Relinquished by (S9nature) Date/Time Received gnature) Report T4 <br /> BIII To <br /> Relsnquish6d by (Signature) Date/Time Received for Laboratory by (Signature) /-res/ [-O<< �(i C 5/ <br />
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