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ARCHIVED REPORTS XR0001539
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CHARTER
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1419
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3500 - Local Oversight Program
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PR0544465
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ARCHIVED REPORTS XR0001539
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Entry Properties
Last modified
5/16/2019 1:29:31 PM
Creation date
5/16/2019 1:24:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001539
RECORD_ID
PR0544465
PE
3528
FACILITY_ID
FA0005837
FACILITY_NAME
STEFANOS GASOLINE*
STREET_NUMBER
1419
Direction
E
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15137016
CURRENT_STATUS
02
SITE_LOCATION
1419 E CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
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EHD - Public
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2795 2nd Street,Suite 300 <br /> *tAN <br /> Davis,CA9 916 <br /> ALMCAL LLc Lab 530 297 4600 Sslow <br /> Fax 534 2137 4848 Lab No Page of <br /> Project Contact JHardcopy or PDF To) California EDF Report? Yee ❑No <br /> R k haa - eutnca tr�aa�ecso„C� Chain-of-Custody Record <br /> and Analysis RequestCompany/Address <br /> Si Sampling Company Log Code Analysis Request 9s'3 <br /> hone No FAX No fl lID. <br /> 7 /07_D <br /> Project Numbee PO NO EDF Deliverable To(Email Addreea) <br /> Project Name Sa r Signature r 0= 0 i <br /> D ; <br /> Project Addr ss Sampling p <br /> y/4 , r f-�Y- �,tlar P ng Container Pro ative Matrix <br /> Sample Desi nation Date rime <br /> % so <br /> b� <br /> 2- 9s� oz <br /> '— 03 <br /> A it/ <br /> qs- o-7 <br /> Relinquished by ` Date Time Received by Remarks <br /> '�>�..AAAO'CA A <br /> Reit laked by Data Time Reroived by <br /> Relinquished by dateT RacaZIN ratory Bdl to <br /> 6vatnbuNon White-Lab,Yeiknr-Fire,Pink-0091nator Pormsfcoc 121oot th9 <br />
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