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ARCHIVED REPORTS_XR0012741
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_XR0012741
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Entry Properties
Last modified
2/11/2020 4:50:47 PM
Creation date
2/11/2020 11:57:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012741
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
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EHD - Public
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+I r l5 <br /> CHAIN OF CUSTODY RECORD <br /> ' ;Hent nay* LBC LOG NO. <br /> - �I„-� - Job numWr Analytes requlnd <br /> hgset Haire►. �p -�..['! t�19')'► ' <br /> i saaJacs muuper a <br /> s l; <br /> # Sample CateTime r + <br /> number Sampled sampledCornpwltr Number <br /> nur <br /> or of <br /> dercrlption of �a ' <br /> Grab eoatalnert >~� Remarks <br /> F Z h <br /> W VA,A <br /> G u t' <br /> K <br /> Signature <br /> ,..� Company <br /> Relinquished by Dote iimc 1 <br /> Flxelved by _ <br /> nquEthad by _ �I � ��^� ��i <br /> a' <br /> Rreel.d by <br /> Railnqulshed by ' <br /> - Rea[eed by <br /> 'BROWN AND CALDWELL A11,111 01 Laboratories <br /> Note: Sampler are discarded 241 drys after results we reported <br /> ❑1255 Pomil 5tref 7meM019,CA 94608 14151 420.2300 vOlals Other aRrn"rnents are made, r 4 <br /> q" Sout� C a :nue,d`' ;ena, "• ^11051 ^•tl 68 • 5 ardaus s}plea wltl be returned to chant or dliao <br /> .pert F yg <br /> p <br /> r <br />
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