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ARCHIVED REPORTS_XR0003627
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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420
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3500 - Local Oversight Program
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PR0545336
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ARCHIVED REPORTS_XR0003627
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Entry Properties
Last modified
2/10/2020 4:45:57 PM
Creation date
2/10/2020 4:13:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003627
RECORD_ID
PR0545336
PE
3528
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
02
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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SHELL ELL ATONITORING DA -- A SHEET <br /> 5,{y xogect : g�flll7"L� n.1C ez o 4 I o Z 02, <br /> 4� <br /> Sarr:ler:t A mate Sampled: JI_1 7_ 47¢ <br /> held. I D MW -3 <br /> AW _3 Kell Diameter: (circle one) 2 3 06 <br /> Total Kell :.ept'i 7epth to dater. <br /> Before 7� 7C? After Sefcze � C�j rester <br /> Depth to -T=ee =zcc%.ct. szck .ess of Free Product (feet) <br /> Measure-rants ze;ezerced to Gzade Other <br /> ,.a— ,. t,c•) • ,cr <br /> c r <br /> •Sr p.l <br /> I <br /> l 6, 7- <br /> 1 Case Vol Suecif-ed ':oli 3 = gallons <br /> Purgi-g. axlez O Sa lsf-ng Bailer <br /> ❑ a <br /> Ilectz_c . lectric S,-*--- r3—.,-le q <br /> S,.ct-c-i P--= ❑ S.:ct:�on P q <br /> =}-e c= :-Stalled _:stalled ❑ <br /> TI� CcND 7 IDITY- Iv0:.0-M C=S-TRVAT:OhS . <br /> �D� l C• lz6o• Z � _ l I { <br /> Did Well DexaterI,N0 If des, gals. Gallons Actvally Evacuated. 17 <br /> Sampling TomS <br /> Sarnle I D. : 114W_ Laboratory: �/E� <br /> Analyzed for: /V <br /> Dupl-tate I.D. : L) Cleaning Blank I.D <br /> Analyzed for: 7-PM!� <br /> Shipping Notations: <br /> Additional Notations: <br />
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