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ARCHIVED REPORTS_XR0009795
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_XR0009795
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Entry Properties
Last modified
5/20/2020 4:02:49 PM
Creation date
5/20/2020 3:37:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009795
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
Scanner
LSauers
Tags
EHD - Public
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� w■ w■w � �■ � P l ',C ■ems <br /> F �3 2 7 <br /> WHF Environmental Consultants, II�KDALE,�CA 95361 <br /> Post Office Box 9 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95 -6729 <br /> (209 579-81.38 <br /> PROJECT NAME: <br /> D <br /> SAMPLERS sig7-,-Z��� <br /> Number V�a�Q <br /> Of fu \ REMARKS <br /> 11-�-,StationmeCon- <br /> tainers. <br /> �'} \ <br /> Humber a TiStation Location taCon- Ale <br /> :2— <br /> ab t <br /> E <br /> I <br /> C <br /> _ I <br /> { <br /> S <br /> Relinquish by(signature). Date / Time R v d by ( gn tur Reli uishe by sire) Date / Time ved by (sP(e): <br /> om n $'�—q � 1V,, l <br /> p y ency: C p n o en : C n o enc om n orV 9 <br /> 4 <br /> �qen <br /> ate / Time Received by (signature): Relinquished by Date / Tlme Received by (signature) <br /> Compan �l� mpany or Agency. Company or Agency Company or Agency. <br /> Relinquished by(signature) Date / Time Received for Laboratory by Date / Time Remarks/Shipping Information <br /> Company or Agency- ( tu� <br />
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