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ARCHIVED REPORTS_XR0004459
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3500 - Local Oversight Program
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PR0545347
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ARCHIVED REPORTS_XR0004459
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Last modified
2/6/2020 4:53:41 PM
Creation date
2/6/2020 3:56:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004459
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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HF WHF, INC. <br /> Post Office Box 427 <br /> Oakdale,CA 95361 <br /> CHAIN OF CUSTODY RECORD (209)848-4280 <br /> Project Name: y <br /> Number va <br /> Samplers(signature): of REMARKS <br /> Containers <br /> Station a <br /> Number Date Time o Station Location <br /> U <br /> E <br /> Relinquished by(signature): Date 1 Time Received by(signature): Relinquished by(signature): Date 1 Time Received by(signature): <br /> Company or Agency: Company or Agency: Company or Agency: Company or Agency: <br /> Relinquished b <br /> q y(signature): Date 1 Time Received by(signantre): Relinquished by(signature): Date 1 Time Received by(signature): <br /> Company or Agency: Company or Agency: Company or Agency: Company or Agency: <br /> Relinquished by(signawre): Date 1 Time Received by(signature): Dale I Time Remarks/Shipping Information <br /> Company or Agency: Company or Agency: <br />
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