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ARCHIVED REPORTS_XR0007290
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WILSON
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2211
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3500 - Local Oversight Program
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PR0545106
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ARCHIVED REPORTS_XR0007290
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Entry Properties
Last modified
12/19/2019 4:24:19 PM
Creation date
12/19/2019 4:05:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007290
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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SJGOV\wng
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EHD - Public
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CHAIN OF CUSTODY RECORD Bili To SHERWOOD LABS <br /> PO Box 937 <br /> SQ71 N Lander Avenue HILMAR, CA 95324 <br /> azSherwood P O Box 937 <br /> Hilmar, California 95324 <br /> !�Li Labs (209) 667-5258 Attention VICKI HUBIS Phone 209-667-5258 Page Of <br /> C O R P O R A T I O N FAX(209) 667-2581 <br /> Job Number PO # Protect Name <br /> IFOOTHILL ON ELL MOTORS— �Co s <br /> Samplers (Signature) Site Address <br /> 2211 N. WILSON WAY <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTH/DAYNR) (HOUR/MIN) OF (GRAB MATRIX t r� �� <br /> CONTAINERS COMPOSITE) ' � ! � o REMARKS <br /> : (f <br /> r <br /> }it 1 <br /> rim)— T �! I ✓" <br /> IJ�lL� <br /> 7 S <br /> pp a f f >< <br /> 'S <br /> Relinqu "'ed By (Signature) Daterrime Received By (Signature) DateRme TURNAROUND TIME <br /> elxl'.. 09Y 57 t1-/,'-�2 41 ;Z <br /> elmqurshe By (Signafure) Date/Time J , Ftecenred By (Signature) Date me 24 HOUR Elf <br /> 16 x- A21,6" 48 HOUR C3 <br /> i[Relinqu[shed By (Signature) Datemme Received By (Signature) DateTme 1 <br /> f <br /> i <br /> DISTRIBUTION Wrial Accompanies Shipment Canary Copv Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arra ents are made <br /> V <br />
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