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ARCHIVED REPORTS_XR0004193
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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800
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3500 - Local Oversight Program
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PR0545339
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ARCHIVED REPORTS_XR0004193
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Entry Properties
Last modified
2/11/2020 7:26:58 PM
Creation date
2/11/2020 4:55:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004193
RECORD_ID
PR0545339
PE
3528
FACILITY_ID
FA0003633
FACILITY_NAME
ARCO 07049
STREET_NUMBER
800
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206042
CURRENT_STATUS
02
SITE_LOCATION
800 E Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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ARCO Pro cts Company ,41-, �J 4 92 - 2— Chain of Custody <br /> Revision of AtlanhcilichheklCompany Task Order No 0 7(6— y <br /> ARCO Facility no City JJ Protect manager y� '^1 Laboratory name <br /> 2U7� <br /> (Facility) (Consullant) t1 VU -A d''1 <br /> ARCO engineer + vC L Telephone�po Telephone no a G Fax no, Q / p gyp. <br /> K 1G G.✓M'L ARCO `11�" �'�� I(Consultant) 9fG Q'J Z- �70 Conshanl /�id•a h z- �r p p Con t number <br /> Consultant name Address +� n�7 n `"� <br /> (Consultant)) h a YI',fV6 vZpp K�.Ncii �q.��,� <br /> Matrix Preservation E) Method of shipment <br /> © P o <br /> CD <br /> m �0 <br /> o m E m_ N <br /> U C 171 OI = mo mdL <br /> Q O N N tu <br /> n °c Sod Water Other Ice Acid Q a a as 8qi m ❑ ❑ �W d <br /> x w �In c o r� w >< <br /> m m ° W �a a m"' a a a a � �1-- `�'mSi <br /> to J U rA rn rn mw HED Qv 1-W W w W F Uh JJA <br /> -r•Z 1�i�-g / Special detection <br /> D ! LimiUreponing <br /> -2�• L� 7 <br /> Special OAIOC <br /> 7 f D-)1'9L Remarks <br /> le Z <br /> _ 3y 1 - <br /> fl-s3-4L 11 <br /> 1 Lab number <br /> �r J Turnaround time <br /> ��•y x Priority Rush <br /> i Business Day ❑ <br /> Condition of sample Temperature received <br /> Re hail by sampler Date Time Received by Rush <br /> 2 Business Days El-Ib-SZ )0)4,Relinquished Date Time Receiv� y Expedited <br /> f / 5 Business Days ❑ <br /> Relin by Date Time Ren�ived b labOratoryy Date / Time Standard <br /> /Q-!6 `'f Z 12 •sS 10 Business Days , <br /> Distribution White copy—Laboratory Canary copy—ARCO Environmental Engineering Pink copy—Consultant <br /> APPC 3292(2 91) <br />
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