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ARCHIVED REPORTS_XR0007287
EnvironmentalHealth
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WILSON
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3500 - Local Oversight Program
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PR0545106
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ARCHIVED REPORTS_XR0007287
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Entry Properties
Last modified
12/19/2019 4:22:20 PM
Creation date
12/19/2019 4:04:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007287
RECORD_ID
PR0545106
PE
3529
FACILITY_ID
FA0003694
FACILITY_NAME
RIVER CITY PETROLEUM CARDLOCK
STREET_NUMBER
2211
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11707050
CURRENT_STATUS
02
SITE_LOCATION
2211 N WILSON WAY
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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Tags
EHD - Public
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ANALYTICAL 2003031257 03/2012003 Analyses Request <br /> BSKLABORATORIESFTHILL TAT Standard ENG � Chain of Custody <br /> 1414 Stanislaus Street Fresno,CA 93706-1623 32010 `��� IlJ Requested Analyses <br /> (559) 497-2888,800 877-8310 (559)FAX 485-6935 .� <br /> Ctlent NameReport AttentlOn Phone s <br /> -t1-11L(- C- Ot4 —?:exf L <br /> A rens / t Proiecc Quote or PO 1 FAX <br /> C1 Stott !V` lh, Copy to system <br /> iASifse only Sampled by Comment or <br /> Date Time Station Code <br /> swipk type r Sampled Sampled Sample Description/Location <br /> i roto,+ <br /> F <br /> L V <br /> 1 <br /> 3 <br /> x +� / /— <br /> ' � _�� l i (� 1 le)b ! <br /> t r � , /7 <br /> Ile, t 1 a C Z, !r <br /> 1L 13 <br /> ,�_N' t'l tr r C <br /> -- zo <br /> 5 <br /> r Ti <br /> w <br /> �-t t <br /> Matrix Type L Liquid S Solid G Gas Additional Services Additional Services i Charges Authorized By z t <br /> Type of Hazards Associated with Samplem Rush Priority [1 2 Day [] i Day 1 <br /> [[ QC Data package Level It,III or IV(circle one) <br /> I] Fornud Chain or Custody (Signature) <br /> re Print Name Company /bate ATime <br /> Rec I Relinquish y 'O <br /> Rtee u + "� <br /> IBJ <br /> R nr to t•, t� a .. S�� � n�` "' y � -----�r� - / <br /> s i"'G.T <br /> Notice Payme ervices rendered as noted herein ere due in lull within 30 days fr ^when invosced It not so paid, nt balances are deemed delinquent Detinquent balances are subject to monthly senrce re bittsn sand interest cal <br /> 6ulated at 1 112%p r month,18%per annum BSK 3 Associates shall be entitled to recover on delinquent accounts cast collections including attorneys lees incurred prior to or In titigauon whether concluded by lodgment ement compromise <br />
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