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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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L'°'g'-�'-� �� EQUIVA Services LLC Chain Of Custody Record 2,533 <br /> Lob kWW—bn 4►r arA Equlva Project Manager to be Invoiced. <br /> Addnma <br /> & Karen Petryna 9 8 9 9 5 5;! Q oATE 3-/ 3-4 2 <br /> PAGE .1` of .� <br /> s uar rar Co�awnr mpR WN ADOMW P"W and CX* aaa�ora- <br /> 1 Blaine Tech Services .TSR 420 W. Kettleman Lane Lodi T0607700390 <br /> EO/OELNERARgTO�gak4ptigxp�, RIOItFp. GYM14 CONIUITANTPRGIEVYNCI_ <br /> 1880 ftgem Avenue,San Jose,CA 95112 ,� <br /> W40A= #Qnb iQrarna.e�x Aub Coo! 1707-933-23680� 1.3`erW z <br /> eonomaedf cam corn BTs s <br /> L eon Gearhart i <br /> � sawa. <br /> 408 ff sa353 408-.573.7771 <br /> TlNir4liiOkNp TIME(BiJSINF.43 OAYSk <br /> *0 DAYS 1:15 DAYS❑ 72 rlQll(t5 D 4B rlo w 13 24 HMP-S© LM Trow 24 mm REQUESTED ANALYSIS � <br /> 17 tA-RWQm REPORT romT 13 tw Aw cr <br /> GOA WEE OONF FAAMON.NIGPESr HaIEST W BORM Au F- z FIELD NOTES: <br /> SPEML MTRUCTIONS OR NOTES CHECK BOX IF 00 l8 NEWW r <br /> a� 'Detaetlan prr4t for MTBE moat be 0 5ppb e � � � 3 1 or P[D Rssdinga <br /> 'AddidoneSy e-mad copy of lab to Karen Petryna(kepetryna®equiva corn), Aubre 3b ,� or Laboratory Noxa <br /> Cool(aaoa[®cambrio-env aom},and Jos Neely(jrteelyacamhrla-emr comb L $ d m m <br /> Field Sample Identlflcation �DATE I E MAT= coO OF � So � � c �:j 9 � � TFi�tPERArIlRE ON RECEIPT c <br /> rs 3 <br /> r �3 <br /> � I <br /> I <br /> 1 br'{SVS■l <br /> iYnK <br /> _C <br /> brOftno—U r+.ewwbY tcgrrw} Dome Moe <br /> t; <br /> wr+n►MweAr' 17IaaM+N - <br /> �t .+ Dow. TWK O <br /> MEW a)/yZ'i11723 <br /> Og7}dBUnd�Y HR+MI�rral ngnr6 trun b FL.Ydgw and PMik b Circ, tpnRlOn R�i�rn <br />
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