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ARCHIVED REPORTS XR0012745
Environmental Health - Public
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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2448
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3500 - Local Oversight Program
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PR0544300
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ARCHIVED REPORTS XR0012745
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Entry Properties
Last modified
4/2/2019 4:00:52 PM
Creation date
4/2/2019 3:34:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012745
RECORD_ID
PR0544300
PE
3528
FACILITY_ID
FA0003855
FACILITY_NAME
TESORO (SHELL) 68153
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
02
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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+� CHAIN OF CUS i ODY REPORT " <br /> Date Form No. <br /> Beacon Station No. Sampler(Print Name) ANALYSI=S -oI <br /> a y� <br /> Sampler(Signature) <br /> Project No. � A//,J-cae <br /> ,r, 5-o <br /> Atfiliatio Np y ! ` - 7 <br /> Pro ect Location �� � �-9U <br /> r ) u w T i <br /> D to Time Lab No. <br /> m z REMARKS <br /> Sam to Noildenlification <br /> _ 3y 2 �� <br /> --------------- <br /> i nature/Affili iQn) , Dale Time <br /> Relinquistied by:(Signatur ffr}iation) Dale Time Received by ($9 <br /> /�G�'i ��! �rL Try <br /> Date 'Time <br /> Reli ash by:( ignature/Alfitiation) Dale Time Roo ' ed :(Sig /Affiliation f� <br /> �� `��� 1537 to Time <br /> LO <br /> �- Date Time Received b Signature/Aifiliati <br /> Relinquished by:(SignaturelAfliliation) <br /> Bitl to: J'LTRA>v1AR INC. <br /> Report To: J�L� v r 525 West Third Street <br /> Hanford,CA 93234 <br /> ,y, e.,,�� Attention: <br /> sYELLOW:Laboratory Copy PINK:Originator Copy <br /> WHITE:Return to Client with Report <br />�k <br />
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