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ARCHIVED REPORTS_XR0012043
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WILSON
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101
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2900 - Site Mitigation Program
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PR0541653
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ARCHIVED REPORTS_XR0012043
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Entry Properties
Last modified
10/10/2020 11:03:31 PM
Creation date
7/9/2020 8:36:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012043
RECORD_ID
PR0541653
PE
2965
FACILITY_ID
FA0023871
FACILITY_NAME
TOP FILLING STATION
STREET_NUMBER
101
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15125307
CURRENT_STATUS
01
SITE_LOCATION
101 S WILSON WAY
P_LOCATION
01
QC Status
Approved
Scanner
LSauers
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EHD - Public
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CASTLE ANALYTICAL LABORATORY0 aim CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate NS 2079 <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 PAGE OE <br /> Phone (209) 384-2930 Fax (209) 384-1507 <br /> Customer Ar C27 REQUESTED ANALYSES Method of Shipment <br /> Address 3-7 rj aCL 0 <br /> City/State/ZIP (� ( � z <br /> r CA g n ^o J Notes <br /> Phone / FAX Au - 100 C� "?M i1 iu !9 32N CO <br /> Pro) # IPO, # *Top ��, ' a v 0 <br /> U. <br /> Report Attention a 0 <br /> Sampler Signature a b m ~ m <br /> Printed <br /> z <br /> 11 1F -N=+ SAMPLE ID DATE TIME DESCRIPTIONILOCATION �. I RKS <br /> F 66781 �" <br /> -� [ f 6e102 �` t <br /> I YN. t <br /> _ W 115 + t 68783 i <br /> 4 <br /> = 30 68784 <br /> i <br /> vk:tL v x I68785 (� ' <br /> e <br /> ` a <br /> V UJ 11KO6,1 153d xxi68786 cA <br /> V u! Z'qd r I <br /> 66787 <br /> 88788 0) i <br /> r kMrn� 7 <br /> - * s68789 <br /> I <br /> ' -- - T 68790 N tied to <br /> sr rtiteb PiIntad Noma Date TIm Company dam <br /> Relinquished by Jj i p 193(t j(t y* Nots 7 9 ! .tl- Cck <br /> rr[ �h ��f1"L�` ' (I /'�,'- turrii i Ih <br /> Received by <br /> autfloiizeo iacoraYory personnel <br /> Eeived' <br /> ESULTSpUE <br /> 1.c�ka P SERVATIO VERBAL WRITTEN <br /> 2fcr w GOOD CONDIT104 Pirlivraukir. - c� <br /> HE@, PACEABSENT�@NTAINERS _ <br />
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