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ARCHIVED REPORTS_XR0004174
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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_XR0004174
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Entry Properties
Last modified
2/11/2020 3:38:58 PM
Creation date
2/11/2020 11:49:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004174
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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ARCO Pr cis Company -4; 0--- . <br /> ows nor�tlanticRich6aldOornplrry Task Order No `I7LI i � ) Chain of Custody <br /> ARCO Facility no City 1 Pra ecl maria er --- —�� <br /> L L� 1 # g —Ar Laboratory-Hama <br /> 1 Facil1 f (Consuhant A ( 1 , <br /> ARCO engineer ( Telephone no Telephone no Fax no <br /> ARCO Ca i �7 - ; Consultant -7, r„ _ mss, _P' ; (Consultant} /r_- �a � 1 <br /> Contras! number <br /> Consultant name l Address <br /> %wry Consullanl ,� r„ <br /> Matrix Preservation � Method of shtpmenl4 <br /> o EO _ <br /> O <br /> C <br /> CA Chn 4 O O a y�jEn = CI <br /> En <br /> U Soil Water Other Ice Acid c c t = $ c�- ' -a a- <br /> c43 <br /> c i n ;' a° -0 a�o <br /> taA {� a a YY ' i s a a a "' b <br /> U W W W W U <br /> y r �/ Special dotr.chon A <br /> T. '�^j��� ��/S ` Limitlrrspartuty <br /> Special QA1QC <br /> Remarks <br /> , <br /> Lab number <br /> Turnaround fime <br /> Priority Rush <br /> 1 Business pay l I <br /> Condition of sample Tem r e rete <br /> Rush <br /> Ra ad by sam Date Time fired 2 Businoss Day, I <br /> Ln- LF <br /> R nquis byDiaExpodliod <br /> teRacal e y T 5 Business pay, 11 <br /> Re !shad by to Time Receivikby laborato , p t Titne Standard <br /> l 10 Businuss pays <br /> ...... r ,. n-1 r - <br />
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