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ARCHIVED REPORTS_XR0003891
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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_XR0003891
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Entry Properties
Last modified
3/5/2020 5:48:14 PM
Creation date
3/5/2020 4:43:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003891
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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CHAN LISTODYNO <br /> P OJECLI D ) ANALYSIS <br /> " A � 2 <br /> .`i it `.+ <br /> r, <br /> , <br /> _ o <br /> PAGE CLIENT CHAIN OF CUSTODY# a Q p <br /> OF Oz Z <br /> O �¢� po nQ ro CO <br /> LAB I D # SAMPLE I D DATE TIME MATRIX <br /> SAMPLED SAMPLED 0 a� Aq, <br /> COMMENTS <br /> r <br /> S <br /> X <br /> r <br /> s _ <br /> Relinquished by (sigTxanAe) Date/Time Received by (Signature) Special Instructions <br /> Report To <br /> Relinquished by (signature) Date/Time Received by (Signature) <br /> Bill To <br /> Relinquished by (Srgna"w Datefrime Received for Laboratory by (Signature) <br />
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