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ARCHIVED REPORTS_XR0003711
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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501
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3500 - Local Oversight Program
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PR0545337
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ARCHIVED REPORTS_XR0003711
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Entry Properties
Last modified
2/11/2020 1:40:48 PM
Creation date
2/11/2020 11:41:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003711
RECORD_ID
PR0545337
PE
3528
FACILITY_ID
FA0003629
FACILITY_NAME
ARCO STATION #434*
STREET_NUMBER
501
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03119028
CURRENT_STATUS
02
SITE_LOCATION
501 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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PCO Pr is Com an Q <br /> o,r+. a A1laniicRicnn. P y �� Task Order No - ( 3 F Chain Custody <br /> CO Facility no 3Y Clly Project manager / Laboratory name <br /> J Facdd �Consuitanq ellir (f ! J <br /> A CO engineer / Tetaphone no Telephone no r � n' Fax no L <br /> L17"Mi ARCO Consultant —C/�3 Consultant �G 7 7T 1 3 7 <br /> onlrect number <br /> Consultant name /� Address �� ? <br /> 13pwe ,j- Q f Consultant} .J � 57 <br /> Matrix Preservation ❑ Method of shipment <br /> cc 'm E R $ ^ Si ❑ $v <br /> CP G, x a - N g '" e <br /> • o E Soil Water Other Ice Acid t a $ m . � �a n <br /> n c pe rsw„ <br /> E4 i <br /> rn N ms mW !4-1,7 r5: rW W W W <br /> Special defection <br /> V 1 Llmitlreporllnp <br /> If vo <br /> ,t If c <br /> Special QA/OC <br /> Remarks <br /> b number <br /> Turnaround time <br /> Priorly Rush <br /> I Business Day I 1 <br /> Condition of samp! Temperature received <br /> Rush <br /> Rellnqul by ampler Dat Time Received by --- - <br /> a 1a f� ID 93 J✓�t�J 2 Business Days ! I <br /> Refinquishvil by Date Time Received by Expedited <br /> b Buarneaa Ddro I 1 <br /> Ra linquished by (late I unu c 14 by tabordtory t Date / f Ime `. Standard <br /> !J r C) 14 Business Duy■ 1c�- <br /> DIshlb,111on While copy—Laboratory Guuuly LEIlty AM 0 LiMiuninunlul LhUlnuumill Pink i iil,y t uf,,ullnnl <br /> APP t,4',(,litl <br />
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