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ARCHIVED REPORTS_XR0012474
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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3500 - Local Oversight Program
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PR0545336
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ARCHIVED REPORTS_XR0012474
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Entry Properties
Last modified
2/10/2020 8:10:04 PM
Creation date
2/10/2020 4:31:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012474
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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�'�' EQUIVA Services LLC Chain Of Custody Record <br /> Equiva Project Manager(To be invoiced)) <br /> X 41"e—, lae!'/�`v+a a `� S `� Jr' Jr 2 5 DATE <br /> ►°��t 559—ZYS-g3 .�. <br /> Folt S-97-6 Y5- 56Y3 PAGE <br /> WE latr..t and GIV <br />� � � ./.. vi rem T"c../C � � � ���n� �• <br /> 20 2r rc ,-.5 re !� WN84MARMOJECT <br /> awnee RNeLI411*riU <br /> 07- s3-Z36y <br /> 127- <br /> 93S^6Gy y raino L✓i s <br /> URNAROUND TIME(131151N 55DAYS) <br /> 0 10 DA 5 DAYS © 72 HR [J48 HR 04 HR [D4 HR D ANALYSIS <br /> D LA-RWOCS REPORT FORMAT UST AGENCY <br /> OCIMS MTRtE CONFIRMATION HIGHEST_ HIGHEST Per BORING_ ALL_ 2 a Y _ Field Notes <br /> SPECIAL,INSTRUCTIONS OR NOTES TEMPERATURE ON RECEIPT(C( = a3 $ e3 Contalner/Preservadw or PID <br /> i b _ Readings <br /> or <br /> V <br /> Field Sample Identification aAedPueowx <br /> DATE TIhM1- <br /> U <br /> W <br /> U <br /> 2 Y - oI 1 1 14a IJ <br /> -17 , 1 t �a l <br /> Q—G 3 Y 1 1 lid 1 <br /> .rnau br ISgnat I .o.rrrd by l9`u^.tur.l oxer a <br /> C <br /> RrYnq n I Qnatwa) Ra"Nid by,18"tural oalr T'pn <br /> t4L6A <br /> Ro" y WMftra) A..N.d by ISIQMWrl Dow Tom f7 <br /> O <br /> 1(V1Q�RM:ron <br /> DWRIBUTIOW WAt wilt rnae report.ar..n b Pa.Ydm.and Pink to GMnL GOOBER CUSTODY SEALS INTACT❑ <br /> NOT INTACT❑ <br /> CO*TEMPERATURE °C • <br />
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