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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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13336
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3500 - Local Oversight Program
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PR0544810
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/20/2024 9:23:29 AM
Creation date
9/5/2019 11:50:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544810
PE
3528
FACILITY_ID
FA0005586
FACILITY_NAME
RON NUNAN CHEVRON
STREET_NUMBER
13336
Direction
E
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
APN
01902044
CURRENT_STATUS
02
SITE_LOCATION
13336 E HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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;��� � I�hC Phone Message CHAIN OF CUSTODY RECORD <br /> 707 284-3826 .4 <br /> Laboratory Analysis P.O. No, o <br /> Cell Phone laboratory Please Calf Accounts Payable for PO.No. of <br /> N <br /> 707 235-5455 ._ Date; sheet _ o <br /> 0 <br /> Project Name (Nunan/Jernigan) Porameters Lab Name MCCCIinnbeil w <br /> Project Number o 'u Address Pacheco Go0 <br /> Address 13336 E. Hlahvm 88, Lockefoid u) _ n Q r' _ Phone # 925 798-1620 <br /> co <br /> m Ln Turnaround Time <br /> Samplers Name: W x cav �, � 4D .' <br /> Frank GoldmanLU <br /> �, m m o o � gUJ I-Pay <br /> N m y Q ;v 2 - _ a 2 Rus 24Hcur Dour <br /> Sam ler's Sig re n c W o 0 a a: <br /> • a m z Q Report fia: Frani:Goldman <br /> a a- ( Pleas�ca11 first before you Fa <br /> Sample Locatlo Date Tlme °_ m >° Q � o O 3 <br /> Number U a m a_ nts <br /> J0 <br /> e In Dote Time __Leceived By Do te I FVe Total Number of <br /> Containers this Sheet: <br /> Method of Shipment: <br /> Special Shipment/Handiling <br /> Dispatched By Date I Time _�ecelved in Lab B or Storage Requirements:Dote �Ceep an dee <br /> Time <br /> r <br /> r <br />
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