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ARCHIVED REPORTS XR0011250
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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FREMONT
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2185
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3500 - Local Oversight Program
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PR0544922
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ARCHIVED REPORTS XR0011250
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Entry Properties
Last modified
10/7/2019 3:40:47 PM
Creation date
10/7/2019 3:22:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011250
RECORD_ID
PR0544922
PE
3528
FACILITY_ID
FA0003284
FACILITY_NAME
FOOD MART GASOLINE*
STREET_NUMBER
2185
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
14113045
CURRENT_STATUS
02
SITE_LOCATION
2185 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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M M M%r:AWM =0 <br /> ' CHAIN OF CUY REPORT <br /> Beac6n Station No. Sampler(Print Name) DateForm No. <br /> ANALYSES �S"f�-`�3 2 of <br /> ' .. Pro ect No. Sampler(Signature) _ <br /> e xe!�> � <br /> 5-� D8- I" 1 ` 'f/�-I�.�I� ice. ji f r m pp ~� <br /> U%-w4 <br /> " a� c VVy,uyUµv�l� <br /> I Project Location AffiliationIL CL= ro <br /> Sample Noildentification Date Time Lab No. m I z REMARKS <br /> Ayl WA I <br /> P7 <br /> I. <br /> r <br /> F Relinquished by:(Sig alure/Affiliation) Date Time Received by: (Signature/Affiliation) Dale Time <br /> Relinquished by:(Signature/Alliliation) Date Time Received by: (SignaturelAlfiliation) Date Time <br /> Relinquished by:(Signalure/Aflilialion) Dale Time Received by-,(Sig9a16fe/Alfilialiony Date Time <br /> Report To: �a„. Billio:� 1 UJ ` RAMAR INC. <br /> 525 West Third Street' <br /> -1\`.-\,uh TA; Ic r x�►� �1 r►. -t u� Hanford, CA 93230 <br /> Attention: i <br /> WHITE: Return to Client with nepori YELLOW: Laboratory Copy PINK.-Originator Copy 3_BD031,90 <br />
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