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15688
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3500 - Local Oversight Program
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PR0545274
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Last modified
1/31/2020 6:05:52 PM
Creation date
1/31/2020 4:38:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545274
PE
3528
FACILITY_ID
FA0018313
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15688
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620077
CURRENT_STATUS
02
SITE_LOCATION
15688 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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U . i U losSS�, <br /> CHAIN OF CUSTODY <br /> 11,0GEOL A G'ROUND(11ATF_'R I111CONSULTANCY DATE: 0521/07 PAGE 1 of 1 <br /> P.O. BOX 2165 Sample Source: T0607700 997 <br /> LIVERMORE, CALIFORNIA 94551-2165 - Joe's Travel Palza <br /> NE Intersec Harlan Rd. &Thomsen St <br /> SAMPLER(s): Gant D.Lo 15600 S. Harlan Road <br /> I Lathrop,CA <br /> SAMPLER'S SIGNATU ::!ANALYTE:; <br /> Cd <br /> Co <br /> SEND PAPER COPY OF REPORTS TO ABOVE AND TO - w m w <br /> o Z i <br /> y'zo• 9 zo Q " <br /> + a <br /> z <br /> X a R O <br /> F y i LL <br /> + p; Q O <br /> Report via*.PDF file of CDC and lab reports to: c u,. w <br /> Provide EDF zip file to: m <br /> eMail: h2ogeoiCacomcast.net4 O Q o z <br /> 5=Day TAT = d <br /> 925-373-9211 it LL H <br /> 0 <br /> SAMAP..L£ Ip DATE T1MA� I MAAIRM '.LAB It�.sl X <br /> JTP/OVEx/FEW 05/18/07 10:20 Water X X 3 <br /> JTP/OvEx/Soi011.5 -05/18/07 10:40 'i Soil X X 1 <br /> y <br /> RELINQUISHED BY: RELINQUISHED BY: <br /> SIGNATURE SIGNATURE Myrna R. Lowe <br /> TIME- TIME <br /> PRINTED NAME GaryD. Lowe U® CPLD PRINTED NAME ...,,.,_ __.__. ._..__......_.—_ <br /> N_OGE 07. DATE u,0GEOL DATE <br /> COMPANY !0521/07 COMPANY 0521/07 <br /> RECEIVED BY: RECEIVED BY LABQRATORY:: <br /> SIGNATURE - SIGNATURE _ � <br /> TIME TIME <br /> PRINTED NAME Da R Lowe PRINTED NAME <br /> HzOr,r:0t <br /> DATE DATE <br /> COMPANY 1�0521/07 COMPANY STL San FfaDCISCo 0521 <br /> /074 <br /> Page :19 of 20 <br />
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