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ARCHIVED REPORTS XR0004147
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 XR0004147
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Entry Properties
Last modified
4/2/2019 3:58:39 PM
Creation date
4/2/2019 3:53:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004147
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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BVON <br /> CHAIN OFS$TODY REPORT <br /> 0944'7'7 <br /> Beacon Station No f Sampler(Print Name) Date Form No. <br /> ANALYSES /L-30-5 /of <br /> Project No Sampler(Signature) <br /> Project Location y k ��� ;��{ , ,a,,,x,, Ly, Affiliation m <br /> 0 a v <br /> beCoLU <br /> 0 <br /> Sample No/Identification Date Time Lab No. m � �- z° REMARKS <br /> VA lam' -?'�'- 1-7,'-,4L':� <br /> 1 1 M <br /> l/l L ) 3 14 14 'd3 I M <br /> tA4 U! 3 i 7 31 X x <br /> 4tll t111 ,c c t LA)e l <br /> LL <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signa re/Affiliation) Date Time <br /> Relm wished by (Sign re/Affiliation) Date Time Receiv by•(Signature/Affiliation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Timea ed by Signa tur Affiliation) Date Time <br /> i <br /> epo T 1'6'� t"//` a l to ULT AMAR ING <br /> to l-lt Cu4 K"^1 "�,/ C� *1� t � 525 West Third Street <br /> -7C, ,- Hanford, CA 93234 <br /> Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 32smaIM <br />
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