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ARCHIVED REPORTS_XR0002636
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HARLAN
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15600
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3500 - Local Oversight Program
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PR0545273
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ARCHIVED REPORTS_XR0002636
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Entry Properties
Last modified
2/3/2020 6:57:37 PM
Creation date
2/3/2020 11:28:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002636
RECORD_ID
PR0545273
PE
3528
FACILITY_ID
FA0000174
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15600
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620079
CURRENT_STATUS
02
SITE_LOCATION
15600 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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TFF •womh'-_ 000; i <br /> Lab Report# <br /> GeoAnalytical Laboratories, Inc. ` <br /> a, Regulatoryes 0 No <br /> 1405 Kansas Avenue Phone (209)572-0900 )Icy4 <br /> w Modesto,CA 95351 Fax (209)572-0916 Regulator: <br /> a- t� �+ Phone: (Irr ) �/�S�"" 3 Y5-;6 <br /> (j <br /> Client f��4". !_5 `<' . CHAIN OF CUSTODY Fax (,�� , �1�5 — 31e5- <br /> Address QS V>13 JU at'A _ To. <br /> City fz"IcA(6 - C..4-- _ Zip 93�f <br /> Project 1D JCW�F j, fs WCC1%4-_4t�wd _ �y e Lab Use Only <br /> (Print o �� <br /> Sampled By <br /> o y <br /> (Signature) Container <br /> Sample type4 Lab ID# <br /> z' <br /> Dale Tune ciao comp Mainx Sample ID Type size f R. <br /> d-� 3 rU Q of Remarks [ <br /> i <br /> ,o <br /> m <br /> m <br /> i <br /> N <br /> °° Rcmarks <br /> m <br /> sr <br /> i m <br /> N <br /> RchMaishedby( J Time eCOvedby(S aiu } a Time <br /> N <br /> liel inquisbLd by(S ignat ILk Tura. Recrived (Sig are} it FirtMt <br /> m <br /> Preservative 1a_41G 0-HCI O-NaOH 4&Na2S20, Q-HNO3 &H2S Oa Q-Other @-Other <br /> m <br /> Cv SHeTime DnvengTime Taal riorrs <br /> m Sra�t Finish Tout Hours Sart 9 w- 7- ile Am al x2= <br /> Mileage: Approved By: y Z� <br />
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