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ARCHIVED REPORTS_XR0011613
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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16500
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3500 - Local Oversight Program
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PR0545275
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ARCHIVED REPORTS_XR0011613
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Entry Properties
Last modified
2/3/2020 2:52:09 PM
Creation date
2/3/2020 12:54:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011613
RECORD_ID
PR0545275
PE
3528
FACILITY_ID
FA0005678
FACILITY_NAME
LATHROP SHELL
STREET_NUMBER
16500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
16500 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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;.: Facility Humber. U OCAL 5 # 11195 Contact (Nome) <br /> FaolUlyAddnee 16500 South Interstate I-5 La :»,'p�C (Phan.) (925) 277-2335 <br /> Consultant Profeal Humber. 1 Laboratory Name Sequoia Analytical <br /> TOSCO Consultant Home —Ryan Inc, (r.—R Tnr.lLaboratoryRelrose Plumber <br /> T—M..4-d" —e-V Address Sample. Collecied by (Home) VAL2&JMM Tlio jo e' <br /> project Contoat (Name) Deanna L, Harding Collection Data <br /> (Phone)510--551--155-(rom Humber)510-55l-7888 signature <br /> • Analyses To Do performed DO NOT BILL <br /> o W _ TB-LB ANALYSIS <br /> CL <br /> a.. <br /> ay^1 <br /> L• a YS N Y N Y�F V n J`� <br /> CL �p u <br /> F� ' ' j 6 E <br /> Jf 9rn r ° �.. r.. ,. � rJ kemorks <br /> TB-LB 01 1 v/ C9- qc} <br /> �_ �xr <br /> rte' <br /> .3 s w rbso ,� X LI <br /> W,S, G(D <br /> 1.0 1 w )I0� 'L <br /> I,,l.l Z �— '� -� —4 1 0 K 4 k • <br /> Gc-4J S <br /> R49ngufehgd By SI nature) Organliatlon Oole/lkna 8 S ItrorlY, By (Slgnalurr) Drganl:ollon Dal /ll a Tum Around Print (Chole Choloe) <br /> C-A Inc. g p <br /> - lD�CJI 24 Hm. <br /> Relinquished By (5lgnatura) orgahlinuorr Date/17me RseePr.4 By (Signature) Drganitatlon Dole/,"mo <br /> Ree. <br /> i0 Dor I <br /> Rellnaulehed By (51paturo) orgonkatlon Oal.lTlma Realered For Laboralory,By (signature) Bale/71ms Cantrnate <br />
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