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ARCHIVED REPORTS_XR0012467
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_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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r T <br /> EQUiVA Services LLC Chain Of Custody Record <br /> Ub WwOm"(W"wm"wyp Equiva Project Manager to be Invoiced: <br /> AWfr ,W aE <br /> Ctyr�•� a <br /> 9Karen Petryna 9 8 9 9 5 512 5 DATE Z Z+7 <br /> w• <br /> •y ,� rdj tOot11►oe�y �� (( fr � 5s f <br /> Lin , t PAGE pf <br /> i)=CMVAWane Aoolteas(ar.n aae t: a�ow�a ND <br /> Blaine Tech Servims ansa 420 W. Ketdeman Lane, Lodi T0607700390 <br /> ICCPFA& E71 Dil1VEIlA61i TO(RwwwA bP"wD-W—): PNOWND_ 6WIL CONWATA PwOM—TND. <br /> 16M Ragas Avenue,San Joss,CA 95112 oyrst t7 <br /> CDKGGTrlrtlupywPtx w Coot 1707-933-2368 sonor off cambrfa-env Dom erar <br /> Laos Gearhart Aabr gal <br /> TB.�HDIiE <br /> r <br /> � ' <br /> suc saAL AN," � <br /> 108673-03 TURNAROUND TIME(BUSINESS DAY-SN XIn <br /> H"1a D ys 135 D ys❑ n mm CI 4a Navas 13 24 mmO i5s 7w z4 Mows REQUESTED ANALYSIS <br /> C3 u-Rwiza Rmw FopmT 13 usr Amtcr. <br /> W sCONFVW�TiON.MKWW Nr31HESTPsr80M#a .� <br /> WsMTeA" FIELD NOTES: <br /> SPECIAL INtiTitUC r60N8 OR NOTES CHECK BOX P EDO IS NEEDS 4 <br /> .. ContainodPromwa Are <br /> 'Ddeetion M*for MTBE Muat be 0--jM* a s'� $ or PID Reacifts <br /> 'Addttlonalty a aW copy of lab to Karen Pana(kepetrymCoqulva cpm), Aubral IL or Laboratory Nota* <br /> Coot(aAool®cambrierenv com),and Jae iVeely(Ineery@cambna-env com) <br /> w � m <br /> N <br /> Field Smple Identification SMP` * , x TEMPERATURE ON RECEIPT C- <br /> DATE TIME m o <br /> W 3 k k --c 4 <br /> TR <br /> I <br /> h <br /> i <br /> 1 A�w�wd <br /> r GYt Tank <br /> RigiYrd br( ) Rrwlr�d hr Isle�ryrl DYk "il` n� � � �d+ G � <br />� br "I ly 3 � <br /> DtSTRI�IT101t V&&rihrnd I GMn N F1%Yiow wd Pk*fA 0W& lamaw paww n <br />
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