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ARCHIVED REPORTS XR0000660
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CAPITOL
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6421
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2900 - Site Mitigation Program
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PR0522496
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ARCHIVED REPORTS XR0000660
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Entry Properties
Last modified
2/15/2019 7:20:55 PM
Creation date
2/15/2019 3:12:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000660
RECORD_ID
PR0522496
PE
2957
FACILITY_ID
FA0015317
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95245
APN
05532024
CURRENT_STATUS
02
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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. CHAIN OFOTODY RECORD <br /> i <br /> in <br /> SCIENTIFIC LABORATORIES OF CALIFORNIA WORK ORDER# Z- <br /> 24416 <br /> 24416 S MAIN ST SUITE 308 <br /> a CARSON,CA 40745 DUE DATE <br /> E=3 Tel(310)834-4868 Fax(310)834-4772 <br /> Company. SAMPLL TYPE Cooler temperature ANALYSIS REQUESTED <br /> P 7 WW-waste wavx upon receipt <br /> OW—ground v mLer <br /> DW=dmktmgwetcr <br /> SO-3011 $D—mild <br /> Contact Person SL—s uqp A-au <br /> Tel t Fax(7t+!) 44b -- SiSd1 — 0-*&- (� <br /> J {� 3 33Lz.--' — ro <br /> � P.O N CONTAINER <br /> Project i! TYPEk <br /> G-glass v=Vol vtal <br /> aSampling Location C"100= <br /> S' <br /> Z SCIS AA CLIENT SAMPI�111) WLE CONTA CNER SAMPLING tNFORMATION <br /> Sample Note <br /> LIJ0 TYFL: p� rraow Joie iieea suppler inL <br /> a rs - t wW 4;( v ✓ <br /> �s - 3 vJr� K�z5 ✓ ✓ <br /> 14:X7 <br /> N <br /> 00 <br /> 1-4 <br /> Lf i <br /> LO <br /> lT <br /> 0' <br /> V <br /> e--I <br /> N <br /> r-1 <br /> Date CS ReCCLved By Date ' � �o C SPECIAL INSTRUCTIONS <br /> CD Sampled By <br /> 'Arne (i Ttmc <br /> Date Received B Date —G _t� <br /> KeltMuislicd By <br /> �i' <br /> mTama AL Mme 0 <br /> N REGULAR TAT(s Busmus days) <br /> Date Received By Dale <br /> c� Reltazqutslxed By RUSH DUE DATE AND TIME. <br /> C0 Time. Time <br /> M <br /> )Page 3 of <br /> Shaded area are for laboratory use <br />
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