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ARCHIVED REPORTS_XR0005438
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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2402
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3500 - Local Oversight Program
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PR0545640
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ARCHIVED REPORTS_XR0005438
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Entry Properties
Last modified
5/5/2020 2:09:54 PM
Creation date
5/5/2020 1:37:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005438
RECORD_ID
PR0545640
PE
3528
FACILITY_ID
FA0003900
FACILITY_NAME
PACIFIC PRIDE COMMERCIAL FUEL
STREET_NUMBER
2402
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
12506001
CURRENT_STATUS
02
SITE_LOCATION
2402 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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LSauers
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EHD - Public
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...�� � rare wwe � i� � l• ti ti � 1• � � � <br /> 00 <br /> CASTLE ANALYTICAL LABORATORY HAfN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 PAGr__OF___L_ <br /> Phone (209] 384-2930 - Fax (209) 384-1507 <br /> Customer . �, REQUESTED ANALYSES Method of Shipment <br /> Addressr c x c W �'� U ✓erl')M h} - <br /> City/State/ZIP C C Z <br /> cn Notes <br /> Phone 1 FAX �}a _ + Z�/ W s N m <br /> Proj # 1P0 # (L as m o 23811 <br /> a o- _ _ U. <br /> Report Attention u, V Q _ 0 <br /> J Ei.. cc <br /> Sampler Signature• a $ m 23812 <br /> Printed R <br /> z <br /> LM It9 SAMPLE ID DAl E TIME DESCRIPTIONILOCATION Or 23813 <br /> c— -qq 1 23814 ' <br /> MO 10 �� 2 ! 23815 <br /> 23816 <br /> - W q, 1,3 t, 23 817 <br /> z7 L. x Ij <br /> 23818 <br /> 23819 <br /> Z10,05 LL <br /> 23820 <br /> L L 23 821 i <br /> $ 'Si L 23822 <br /> 177_ 2- <br /> nature Printed N me D to Time Company Name /xi <br /> Tota 23823 <br /> r <br /> Relinquished by d - d,pj} .� Note All 23824 3824 <br /> me <br /> ' <br /> Received by A. t' 0%40d turn t►bmie <br /> li <br /> etinquished - 23825 <br /> Received byV61 11 ' <br /> Relinquished by """"""' RESULTS DUE <br /> O%Jl Sul <br /> Received by r VERBAL WRITTEN <br /> "� ,hkV <br />
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