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ARCHIVED REPORTS_XR0012467
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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_XR0012467
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Entry Properties
Last modified
10/10/2020 10:09:42 PM
Creation date
2/10/2020 4:27:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012467
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
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SJGOV\sballwahn
Tags
EHD - Public
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— 44- ' -- EQUIVA Saiwices LLC Chain Of Custody Record <br /> LabW--M*naceaoryk - <br /> Equiva Protect Manager to be invoiced <br /> Adams Karen Petryna 9 8 9 9 5 5 2 5 DATE Z7 d <br /> CRY.Beals.Z* �.y r 3 5 <br /> i.J <br /> ❑CHE <br /> [fFH4L$CbN 0 O + s PAGE <br /> W1 ADOMW(crag and Cip* c;las D aao_ <br /> Blalne Tech Sarvlces [B�R: 420 W. Kettieman Lane, Lodi T0607700390 <br /> A40�d6mr osuvraAus ro a.wa■ar r.�ir�c..t.�..r ra+oaas hao» 6"Lcnrasuuwr a+ht tr <br /> 1880 R"era Avenue,San Jam,CA 93112 roti-�• ►► <br /> Lean f3ealthar! =gal <br /> ewM+ 707-933.2368 Isonamaoq@Cambda-env*am BTS 0 <br /> :n <br /> FAX. _ 1 � yrs,i l �g 5 ,�a , <br /> 408-573-0'4-S 486-6P9.7771 a� bla nstech.cam ��q�yw���5�� s;��� ��5+i#4' <br /> yY 6 5 �� f YY <br /> T RNAROWD TIlIE(BUSiNESB QAYBk <br /> 010 DAYS ❑5 DAYS❑ 72 tlDW❑ 4B KOM ❑ 24 1ImR5❑ LESS TwW 24 moms REQUESTED ANALYSIS <br /> ❑ LA-RwQCa REPORT wRNAT ❑ usT acfNCw. <br /> acrlrs MTBe t aelFlwuATlolt NIt.NE9T MIt3 M WBORM AIL g FIELD NOTES: <br /> SPECIAL INSTRUCTIONS OR NOTES CNECK BOX IF EDD IS NEEDW r r, <br /> m ., tarhtalnerfprsaenrativs <br /> -DoWton M*for MTBE must be 0 5ppb or NO Readlnss <br /> 'Additlonally e-mail copy of lab to Karen Pebyna(kepehyna@equiva c:om), Aubre 0. �+ or laboratory Not" <br /> Cool(acodO mbrie-env cam),and Joe Neely Qneely@rambda.em com) , 4t o <br /> a m as `" LTi s <br /> � sSMAM NO OF <br /> s <br /> Field Sample Identification TWEIATeu wlrr ° n TEWERATURE ON RECEIPT V <br /> mow' s ar x �02 <br /> N'w-y id —03 <br /> Elf <br /> ++•r�a�rrd , ) R�ofwdbrl�v r o..c/� ¢ TOW <br /> Rrfrgiaatndbh.(sO-h+y F.owv.abrI a1 OWN Tfro�c <br /> q+rlydbl'tlils l R�aread Dom 7ww <br /> I t y 3 <br /> Gl9TRlglt101k YHir+ala lar+++port cinsn b Fids Y+Mw.and F41r b CUeI <br /> 1tY16A0 R;wirya <br />
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