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ARCHIVED REPORTS XR0012580
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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900
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3500 - Local Oversight Program
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PR0544482
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ARCHIVED REPORTS XR0012580
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Entry Properties
Last modified
5/20/2019 5:51:49 PM
Creation date
5/20/2019 4:11:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012580
RECORD_ID
PR0544482
PE
3528
FACILITY_ID
FA0000556
FACILITY_NAME
CHEROKEE LANE SERVICE STATION*
STREET_NUMBER
900
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04742007
CURRENT_STATUS
02
SITE_LOCATION
900 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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WIN <br /> �1�A� �11s ��a � <br /> CHAIN OF CL-.i ODY 13EPOP�T <br /> y <br /> Be-awn Station Fie. SarryNer(Prost Name) <br /> Dat <br /> r`a e r rc'-}o .•c ANALYSES !fie 4 t Form No. <br /> Prolent of <br /> tJo. �7 �It k u <br /> Sampler(11 <br /> Sgnature) IQct ,,cs <br /> J' � .v...L C 4�is J eSz. •c� �,- <br /> Pro — <br /> ocation <br /> 9 0 s. ek a e R,-e CA� A��iatibn � <br /> �CJ.' C.14 _ c <br /> �a <br /> Sam. Nuild of ° <br /> cation Date Time " c a <br /> o' Lab No. M <br /> t Z. REMARKS <br /> it <br /> Li ISA L-1 -Z• �. <br /> r, �6 :Z� VvZ <br /> In <br /> � IM <br /> Relinquished by:(Sigrsature/AtS[iatiori <br /> D <br /> ate Time Received tsy:(Sigrsafur,rAffiliation) Date Time <br /> Aelir�ished byS naidrelAtffifiliatiors - <br /> } 02te Time Roweived by (Sonature/Affilianon) ' <br /> We Time <br /> �h'y a•-t s 3 <br /> Relingt hed by:(SignamrelAffiliafion) Dale Time Recery 2 2 la-L <br /> by: ignature/Aftiliat'rjn) ate Time <br /> 4' *; <br /> o: ilt, 1MAR INC. <br /> est Third Street <br /> �) 63� a Hanford,CA 93230 <br /> m S38.'� <br /> Attention: <br /> ;? WHITE:Return to Client wilh Aeport YULOW:Laberato Co � <br /> rY PY PJNK:Utinator CoQy <br /> IF <br /> mailr <br />
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