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ARCHIVED REPORTS_XR0007305
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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_XR0007305
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Entry Properties
Last modified
12/19/2019 4:19:13 PM
Creation date
12/19/2019 4:15:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007305
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
Tags
EHD - Public
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SC <br /> RAIN OF CUSTODY RECORD Bill To <br /> 8071 N <br /> ,l Sherwood PO Box 937 Lander Avenue <br /> U Hilmar, California 95324 <br /> Labs (209) 667-5258 <br /> Attention Phone <br /> CORPORA T / ON FAX (209) 667-2581 t <l< Page of <br /> Job Number PO # Project Name <br /> mpler ignature�jvj <br /> Sae Address <br /> .t -`( r ',-A I r ' '! 1 • ! , i �� <br /> V — ' 1t <br /> SAMPLE LOCATION DATE TIME NUMoBER (GRAS TYPE <br /> SAMPLE �,, mak, <br /> (IDENTIFICATION) (MTHlDAYNR) (HOUR/MIN) CONTAINERS COMPOSITE) MATRIX �'� �QZ � �! REMARKS <br /> f <br /> ; r I <br /> I <br /> 1 \A t0 <br /> IV <br /> Relu f� <br /> By (Signa ut <br /> } Date/Tia Received By (Signature) Datemme TURNAROUND TIME <br /> Relinquished gyp(Signaturg) �� Da4e1T a Rece d By (Signature) it Daterrime 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Fkibnquished By (Signalure) `l DateRme Received By (Signature) �' DateMme <br /> - sDAY ❑ <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br /> I <br />
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