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ARCHIVED REPORTS_XR0013041
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_XR0013041
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Entry Properties
Last modified
3/5/2020 5:54:15 PM
Creation date
3/5/2020 5:00:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0013041
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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ENGINEERING INC. a?10 + "6,::V J.2i <br /> RCS#27011 VC. #537901 8084 OLD AUBURN ROAD # <br /> - w CITRUS HEIGHTS,CA 9561 OF + <br /> F Y 4�3V lC $ .I �CiJ �S L9C65 JOB <br /> #537901L� <br /> CAc�c-lt�l sr��t <br /> CHAIN OF CUS'I'UU <br /> JOH NAME: - --- -- - -- — - — -- <br /> LAB: t <br /> PROJECT MANAGER � uti�''-tr-- SAMPLES COLLECTED BY: <br /> SAMPLE TYPE; <br /> -AMPLE LOCATION DATE TIMESAMPLE TYPE ANALYSIS <br /> SOIL 4AIRWA:TERNO. CONTAINER(S) REQUIRED <br /> SOIL <br /> 17601 X <br /> 176aX <br /> 17b oG(- k <br /> IIre 7 R4 Q <br /> 116 <br /> P VT NA AFTER SIGNATURE <br /> 1 7AD� RECEIVED BY: DATE/'TIME <br /> REL <br /> IS <br /> HYv Y� RECEIVED BY: DATE/'TIMI; <br /> REL]NQUISHED BY: RECEIVED 13Y: DATE/TIME <br /> RECEIVED FOR LABORATORY BY: ATE/TIME <br /> -7 1 to:-fd <br /> NJETHOD OF SHIPMENT. — -- <br /> S�S1Z <br /> DISPOSITION: <br /> ] SToRAGE ❑ REFRIGERATOR FREEZER <br /> {N AROUND TIME SECURED <br /> HOUR [] 3 DAYS I WEEK ( ? WEEDS ❑ Ll <br /> YES NO <br /> NOTE NLEA-. E; HAVE EACH DATA SHEET SIGNED 13Y CHEMIST. <br />
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