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ARCHIVED REPORTS_XR0004457
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3500 - Local Oversight Program
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PR0545347
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ARCHIVED REPORTS_XR0004457
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Last modified
2/6/2020 5:02:52 PM
Creation date
2/6/2020 3:56:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004457
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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WHF]�� WHF, INC. <br /> Post Office Box 427 <br /> Oakdale,CA 95361 <br /> CHAIN OF CUSTODY RECORIJI�` (209)848-4280 <br /> Project Name: ,�f y Y,' <br /> z / r�'w f � Number a <br /> Samplers(signature): <br /> ofQ � REMARKS <br /> 4" Containers �, h <br /> Humber Date Time o Station Location <br /> U <br /> d?" U VJAS X X 'jq �/ ✓f/� o��� �?/ <br />� � ��� tOcT`7 �',a r. �i3•" l �. �- 1 t f f 5= � � � � � ��v ��� },LS►r` �2.,�d t <br /> S�$ Sati5 r weer Z L/OAS <br /> i <br /> U2A A1 <br /> t <br /> ars I J '� �� z - ►� ° s� xX, X z <br /> T 5 ; P, f 15c IX X X tr <br /> -1C/I S"' <br /> Relinquished by(moi natural Date I Time Receivedsignal re): Relinquished by(signature): Date 1 Time Received by(signature): <br /> Company or Agency: C y or Agenc : Company or Agency: Company or Agency: <br /> 'y lu/�/1 <br /> Relinquished by(signatur-0: Date I Time Received by(signature): Relinquished by(signature): Date 1 Time Received by(signature): <br /> Company or Agency: Company or Agency: Company orAgency: Company or Agency: <br /> Relinquished by(signalum): Dale I Time Received by(signature): Date I Time Remarks/Shipping Information <br /> Company or Agency: Company or Agency: <br />
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