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ARCHIVED REPORTS_XR0005439
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2402
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3500 - Local Oversight Program
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PR0545640
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ARCHIVED REPORTS_XR0005439
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Entry Properties
Last modified
5/5/2020 2:17:02 PM
Creation date
5/5/2020 1:37:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005439
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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EHD - Public
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CASTLE ANALYTICAL LABORATORY 0 CC 9y_ doc CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Mailing Address 2333 Shuttle Dave, Atwater, CA 95301 PAGE_ OF� <br /> Phone (209) 384-2930 - Fax (209) 384-1507 <br /> Customer j REQUESTED ANALYSES Method of Shipment <br /> Address v, <br /> City/State/ZIP s m <br /> s ° rn <br /> Phone / FAX Q Notes <br /> Uj —SW r <br /> Prod # IPO # La � `U L <br /> ReportAttention O 0 <br /> Sampler Signature. a m � <br /> Printed a 1 <br /> z 16278 <br /> SAMPLE ID DATE TIME DESCRIPTION/LOCATION OBSERVATION <br /> 4 r 16279 <br /> �3, w- '1—z2- <br /> M40-1p/7-2,74is 16280 <br /> _ <br /> fti <br /> ' 1 16281 <br /> .s 27I X 1 1 282 <br /> 16283 <br /> 1628$ <br /> -s MW-10 -r116 2 8 5 <br /> k dE 4 <br /> 16286 <br /> S.sa ��SS3 k#4r2 €�,P <br /> 1 � —3 kali-iG <br /> F �r <br /> 16287 <br /> 16288 <br /> Total number of contalners suw.. <br /> neture'y, „� _ �, Printed Mame Date Time Compeny Name the laboratory <br /> elinquished by/, ovri - ti. Note All special requests(e g quick <br /> Received by m <br /> I/'; } tum times)must be cleared through <br /> � authorized Is personnel <br /> RefinquFshed by i • w r•+*•+ •rr� -- <br /> Received by t ! <br /> ZAIX,= <br /> inquished by RESULTS DUE <br /> Received by MUMMY doorVERaAL Q WRITTEN <br /> fit-hu b 1wil 1 <br /> 1 �f <br /> all ars �� �■ r11r•w �� aay � � � �� .i. .rrr■ �. arra r..rr �� s ��. <br />
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