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ARCHIVED REPORTS_XR0006041
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_XR0006041
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Entry Properties
Last modified
5/5/2020 2:54:19 PM
Creation date
5/5/2020 1:59:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006041
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 CHAIN OF CUSTODY 3 <br /> Location 2333Shuft Drive, Wdq 9061909 Atwater CA 95301 Certificate No 2480 `C <br /> n <br /> Ma+hRg Address 2333 Shuttle Dnve,Atwater CA 95301 PAGE OF l <br /> Phoma (209)3942930 - Fax f209)384-1507 Y 1 `j 0 <br /> ro n] <br /> Ctlstdmety REQUESTED ANALYSES Me"of Shipment � � <br /> Address _ g� .. .t ml � mCItylStatelZiP } � <br /> Phone f FAX LONP 10 Ll t,-7-;t I$ p N J .[ i Note'sr n <br /> Prof#!P O # LI a ui 40 m ci ` m 1 f R� <br /> Report Attentions j�1�•1 1 .� — a 4 �' 4 U <br /> (! IVSrO 11 rco <br /> { <br /> Sampler Signature _ n H <br /> Punted �/r <br /> z <br /> z <br /> Lab Ifs SAlrtP1 IA DATE TIME DESCRIPTION/LOCATION w OnERVATIONSIREMARKS <br /> x <br /> zj <br /> D <br /> rD <br /> N <br /> CID (h <br /> N <br /> l� V <br /> A � <br /> + A N <br /> -Ti <br /> m <br /> C7 <br /> fG <br /> W <br /> is <br /> otaf nV ro —tw Ion w ed 1a m O <br /> Si nature Printed Na.rrle Date Tlrrre Cflrrt an Name thetabcari <br /> [O=elinqheri by ' Note, All spatia#requests[e g m <br /> Remlveod by _ l 1L. - gwch turn times}must he cleared W <br /> elinqutshed by 9hrasJgfi atlftrued Iaboratorij m <br /> personnel <br /> Received by a� <br /> Rehngtj Wled by 3 <br /> ecetved by RESUI_rs vue <br /> JLRlr �t� t.� 111 ��1R13AL 44R€Tr2N �, <br />
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