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ARCHIVED REPORTS_XR0004117
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1301
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3500 - Local Oversight Program
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PR0545342
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ARCHIVED REPORTS_XR0004117
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Entry Properties
Last modified
2/12/2020 3:26:52 PM
Creation date
2/12/2020 8:58:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004117
RECORD_ID
PR0545342
PE
3528
FACILITY_ID
FA0000392
FACILITY_NAME
FLAMES LIQUOR
STREET_NUMBER
1301
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03104030
CURRENT_STATUS
02
SITE_LOCATION
1301 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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i <br /> i <br /> McCain ell Analytical Inc. ?HAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0205441 <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 Prolective Flame Liquors <br /> PO 31-May-02 <br /> Requested Tests <br /> Sample ID CllentSamplD Matrix Collection Date Bottle 802164015 SW8260B <br /> 0205441-001 MW1105-30-02 Water 5130102 1 0800 PM A B <br /> 0205449-002 MW2105-30-02 Water 5130102 2 10 00 PM A B <br /> 0205441-003 MW3I05-30-02 Water 5/30102 1 33 00 PM A B <br /> 0205441-004 -�__ MW4/05-30-02 Water 5/30102 2 50 00 PM A� B <br /> Comments Global ID#T0607700837 <br /> -- -- Date/Time — - — -—- ---— Date/Time — <br /> Relinquished by _ Received by <br /> Relinquished by: Received by- <br /> Relinquished <br /> yRelinquished by: Received by. <br /> (VOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T Tedlar B-Brass P-Plastic OT-Other <br />
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