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ARCHIVED REPORTS_XR0009793
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SEVENTH
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15615
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3500 - Local Oversight Program
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PR0545683
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ARCHIVED REPORTS_XR0009793
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Last modified
5/20/2020 4:11:38 PM
Creation date
5/20/2020 3:37:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009793
RECORD_ID
PR0545683
PE
3528
FACILITY_ID
FA0005408
FACILITY_NAME
LANGSTON ARCO*
STREET_NUMBER
15615
Direction
E
STREET_NAME
SEVENTH
STREET_TYPE
ST
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
15615 E SEVENTH ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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LSauers
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EHD - Public
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WHF WHF, INC <br /> Post Office Box 427 <br /> Oakdale,CA 95361 <br /> CHAIN OF CUSTODY RECORD (209)848-4280 <br /> Project Name <br /> 014) t d f*5T-c GJ� M#k KElk Number <br /> Samplers(signature) of ]� r.l REMARKS <br /> Containers <br /> a p ! 1 <br /> Nuamber tion <br /> Date Time c v Station Location <br /> U <br /> 17Gv j z5 q jv 2 Lbd Mo 44e- To 'w I'ac�v <br /> i <br /> Re�u)shed bey{sig�� Date 1 Time Receiv y(signat���' � fished by sin ure) �I Date gime b {s nal re <br /> 7 IVt\ ylko(' <br /> Comp r Agency �1` �j Company or Ag ncy� Company or Agency a� g <br /> Relinquished by(signature) Date I Time Received by(signature) Relinquished by(signature) Date I Time Received by(signature) <br /> Company or Agency Company or Agency Company or Agency Company or Agency <br /> Relinquished by(signature) Date 1 Time Received by(signature) Date I Time Remarks I Shipping Information <br /> Company or Agency Company or Agency <br />
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