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ARCHIVED REPORTS XR0004146
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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 XR0004146
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Entry Properties
Last modified
4/2/2019 3:59:21 PM
Creation date
4/2/2019 3:53:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004146
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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0CUUwallmr iu=. BE N <br /> CHAIN OF CDY REPORT <br /> 09.4751 <br /> F8n Station No Sampler(Print Name) Date Form No <br /> �1-+are 4+0� 5e.r�c��h, ANALYSES a. of <br /> r J 14 <br /> /��ChG "7���.'trr✓ <br /> No Sam r(Signature)_Location Affilr tron o a, <br /> C71 M <br /> Sample NoAdentriication Date Time Lab No m F z° REMARKS <br /> to <br /> AA <br /> Ts, Y.�- X a + <br /> a Y <br /> (Signature/Affiliation) FDate Time Reserved by (SrgnaturelAffrhativn) Date Time <br /> Relinquished by'(Srgnatu ) r-4z o <br /> rk nb�� <br /> rnquished by (Si naturefAffiiratio ) Date Time Received by.(Signature/Affiliation) Date Time <br /> Rehnquist y [Sig aturelAllil:at n) Date Time Received by- atur Altiliatron) ; ate Time <br /> R part oBill to ULTRAMAR INC <br /> "01 525 West Third Street <br /> Detre ShV,fpr.. 01ah#? C.dr•,r� •+s Hanford,CA 93230 <br /> ( 4/6) b s 8 Zc 2 ; Attention <br /> 16 � ueoaa i 90 � <br /> WHITE Return to Client with Report sp /YELLOW.Laboratory Copy PINK �Odgina opy to <br /> oil """77 <br />
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