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ARCHIVED REPORTS_XR0004456
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3500 - Local Oversight Program
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PR0545347
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ARCHIVED REPORTS_XR0004456
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Entry Properties
Last modified
2/6/2020 4:55:14 PM
Creation date
2/6/2020 3:55:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004456
RECORD_ID
PR0545347
PE
3528
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
02
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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r r r r r r r r r r r r r r r r r r r <br /> HFWHF, INC. <br /> Post Office Box 427 <br /> Oakdale,CA 95361 <br /> CHAIN OF CUSTODY RECORD (209) 848-4280 <br /> Project Mame: y <br /> �� �iJ 1��• Number v ( a <br /> Samplers(signature): T of r U{ REMARKS <br /> Containers �u <br /> Station <br /> nDate Time o U Station LocationNumber <br /> U <br /> W els S3 7� nt�` 'rr, Wall- L S` I <br /> -1 o n jai r;�t ill - I L <br /> w�t -` u)-11 X Aai4efilWell-5 0- ' <br /> w- ab-� 1q/0 >r Mon ff f fll <br /> Ret�Wsl�edAby gnatur }: ' Date 1 Time Imp, <br /> .hx Signa Relinquished by(signature): Date 1 Time Received by(signature): <br /> Coy: orAgency� Company or Agency: Company or Agency: <br /> 6) �. <br /> fnyorAgericy: <br /> D' e 1 Time Rece ed by(signat e): Relinquished by(signature): Date 1 Time Received by(signature): <br /> CoI! 1! Company orAgenc : Company or Agency: Company or Agency: <br /> CL <br /> Reli quished by(s' 'ature): 1 Date ! rime Received by(signature): Date ! Time Remarks 1 Shipping information <br /> Company or Agency: Company or Agency: <br />
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