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ARCHIVED REPORTS XR0001860
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 XR0001860
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Entry Properties
Last modified
5/21/2019 4:56:43 PM
Creation date
5/21/2019 4:34:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001860
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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SJGOV\wng
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EHD - Public
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unramalr In@o EEACON <br /> CHAIN OF CUSTODY DEPORT <br /> �trereserr <br /> -i <br /> Beacon Station No Sampler(Print Pia e) ale F rm N <br /> ANALYSES OP of <br /> 8�0401� <br /> Proted No. Sample S 121) <br /> u <br /> pef 3- <br /> Proect Lo�dt�o�/_ /_ A 1 n a <br /> 'If <br /> 5 [ /d (� u <br /> 0 <br /> 5 le NoAdentd'icabon Dai Time Lab No o_71 <br /> ° REMARKS <br /> —e2— 6.S— -312JAL 1200 -o Z'0` <br /> A 6-3 I P <br /> 03 <br /> s- _r <br /> 0q12, <br /> F :) G <br /> -- - •J V ! ` <br /> 0qa5 +,jirc;T LAs3 <br /> Date Time <br /> Re1r y' Am' n) Qate Time Received by (ScgnalureJAHdlatior�) �/� / <br /> e uhed by--(s re(Affiliat n) Date Time Received by.(Signature/Affdiation) Date Time <br /> 1312 afy 16 <br /> Relinquished by (Signature/Alf0ration) Date Timeo <br /> e Rei ed by (Srgnat re/Affi Wjbn) Bate Time <br /> Re To I Bol to ULTRAMAR INC <br /> t I 525 West Third Str <br /> Hanford, CA 93234 <br /> Vo JA Attention E <br /> W# Return to Client with Report YELLOW Laboratory Copy PINK Ongmator Copy <br />
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