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ARCHIVED REPORTS XR0000479
Environmental Health - Public
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EHD Program Facility Records by Street Name
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B
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BENJAMIN HOLT
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2908
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3500 - Local Oversight Program
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PR0544111
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ARCHIVED REPORTS XR0000479
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Entry Properties
Last modified
2/7/2019 4:10:46 PM
Creation date
2/7/2019 2:34:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000479
RECORD_ID
PR0544111
PE
3528
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
02
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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-,,,"MwMP.._ C N OF CUSTODY RECORD BC LOG NO. <br /> :Ilam name Job number Analysis required l Of <br /> � - 317 3 O� <br /> roleet name {� �.� <br /> S L I�r��fi' z _ � ' <br /> roject manager 0 Sampleris) �°4 <br /> �o Gia i fz� iz h C.e�' �o� a� v ��ac <br /> Tye <br /> Sample Date Tome Com oshe <br /> P Sample description Number <br /> a Remarks <br /> lumber sampled sampled or containers <br /> Crab 0'o <br /> }5 7a -2Ge0, AU 4r <br /> 0 <br /> �iaf�rd brrr <br /> ire S c(Hzr ` 0 = <br /> Ey-rwK a mrd C-a f d w e I! <br /> Signature Company Date Time <br /> Relinquished �•. -v 5�5� — OI 3 ��c�� �� �e�c�� - 2-7 <br /> - <br /> Received by v ��l /�. L�tL�tilf (.<L�`t s6i/ 1.tc S/`�C' S'! 7- 97 J/Ae{ <br /> Relinquished by <br /> Received by <br /> Rellnqulshed by <br /> Received by <br /> BROWN AND CALDWELL Anafyttcal Laboratortes Note Samples are discarded 30 days after results an reported <br /> 8!31�oo�ulto�:sks <br /> vl! — �-/ <br /> 66-� unlcts other arrangements are made. <br /> n a, rPa brfi, CIy rB$ $`t�— Hazardous sampler will be returned to chant or disposed <br /> '� of at client expense, <br />
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