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ARCHIVED REPORTS_XR0013028
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_XR0013028
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Entry Properties
Last modified
3/5/2020 6:12:21 PM
Creation date
3/5/2020 4:56:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0013028
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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MATRIX - ?"22 7 MATRIX ENVIRONMENTAL LABORATORIES (916) 635-3962 FAX: (916) 635-9331 C.O.C.-LOG-IN <br /> CHAIN OF -ODY NO.. '+ <br /> R J T ANALYSIS <br /> I. <br /> CO J w \p? <br /> PA E CLIENT CHAIN OF CUSTODY# <br /> M °Q a� <br /> 0 <br /> a OF 1 OZ par pp= <br /> O <br /> LAB I.D.# SAMPLE I.D. DATE TIME MATRIX U A <br /> SAMPLED SAMPL �s 2� <br /> ED 0 A, <br /> ?J/ , k COMMENTS:. <br /> f <br /> f f - <br /> Relinquished by:ftrK3tW8) , Date/Time .Recelved by:(Signature) Special Instructions <br /> Relinquished by:(Signahue) Date/TiReport To: <br /> me Received by:(.Signature) <br /> Bill To: <br /> LtSt\ <br /> Relinquished b :.29 nohae Date/T[Eme Receiv f 'Laboratory by:(Signature) <br />
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