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ARCHIVED REPORTS_XR0003887
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LODI
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2500
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3500 - Local Oversight Program
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PR0545420
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ARCHIVED REPORTS_XR0003887
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Entry Properties
Last modified
3/5/2020 5:32:37 PM
Creation date
3/5/2020 4:41:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003887
RECORD_ID
PR0545420
PE
3528
FACILITY_ID
FA0003815
FACILITY_NAME
TESORO (SPEEDWAY) 68154
STREET_NUMBER
2500
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
02740006
CURRENT_STATUS
02
SITE_LOCATION
2500 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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I Anlab Cheoode CHAIN OF CUS1W RECORD Page of ' <br /> . A y'CLIENT INFORM ON _ <br /> . a � <br /> Company Contact Name l Anlab Use Only <br /> Address ( ev`r"_. Hours <br /> City State Zip Mlles F <br /> ANALYTICAL LABORATORY <br /> Billing Address Equip z <br /> 1910 "S" STREET • SACRAMENTO, CA 95814 Telephone FAX <br /> A <br /> (916) 44f 2946 • FAX (916) 447-8321 t _ <br /> PO Number Project Name 1 0A S <br /> Sampler's Name Sampler's CO $ 4411 ft ., <br /> 5k � rs <br /> " Semple Type Number of Containers Preservation <br /> ANALYSIS > W w s S P G v s T A I <br /> I W 0 L L L 0 T E C <br /> 1t1 I U A A A E 4M I - S <br /> �1 L D 6 1R �M {�j P D ` E I <br /> �\ 0 T S I e 7r ' <br /> r <br /> PL"11 <br /> C TIOta M E C E " <br /> ME, - <br />� r r <br /> M IV 0 3 ✓ <br /> 44 <br /> too ev g <br /> t <br /> r <br /> I <br /> Y <br /> COMM ENTSISPECIAL INSTRUCTIONS <br /> SAMPLE DISPOSAL. Cl HOLD <br /> � I <br /> 1 ❑ RETURN ; D DISPOS <br /> + SHIPPED VIAS ` <br /> I� '❑UPS t FEED EX , ❑S <br /> SAMPLE RELINQUISHED BY PRINT NAME/COMPANY OATEITIME RE IVED BY 7 PRIN+'TL"NAlk�ME/COfraYa S <br /> t <br /> Ll <br /> T{ �l <br /> r°ILAS WILL PERFORM THE SERVICES IN ACCORDANCE WITH THE NORMAL STANDARD OF WORKMANSHIP IN THE PROFESSION THE TOTAL LIABILITY OF ANLAB ITS OFFICERS AGENTS EMPLOYEES OR SUCCESSORS TO THE CLIENT,8!1„/it NOT FJfCEEDiTfIE IN f CED't 0U D <br /> ERV[C£S CLIENTS ACCEPTANCE OF A WORK ORDER AN WOR PROPOSAL RELEASES ANLAB FROM ANY LIABILITY IN EXCESS OF THE INVOICED AMOUNT FOR THE SERVICES NOTWITHSTANDING ANY PROVISION TO THE CONTRARY IYLIENT RCI III R CO i <br /> All hazardous waste samples will be returned to client or billed for disposal <br /> t y <br />
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