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ARCHIVED REPORTS XR0001856
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CHEROKEE
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900
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3500 - Local Oversight Program
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PR0544482
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ARCHIVED REPORTS XR0001856
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Entry Properties
Last modified
5/21/2019 4:54:24 PM
Creation date
5/21/2019 4:32:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001856
RECORD_ID
PR0544482
PE
3528
FACILITY_ID
FA0000556
FACILITY_NAME
CHEROKEE LANE SERVICE STATION*
STREET_NUMBER
900
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04742007
CURRENT_STATUS
02
SITE_LOCATION
900 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\wng
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EHD - Public
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llltr ar inc. BEN <br /> CHAIN OF CL MTODY REPORT r <br /> Unramar <br /> Beacon Station No Sampler(Print Name) Date Form No <br /> J� ANALYSES of �-- <br /> Project No Sampler(Signature) <br /> Project Location �a) S C',k e,.a/,-,,r+C Affihation <br /> �n <br /> 14- <br /> U.1 <br /> Sample No/Identification Date Time Lab No m � � z° REMARKS <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/A i cation) Date Time <br /> C' C` <br /> R unshed by (Signatu e/ ffiliation) Date Time ecei d by_,(Slg ture/Affiliation) Date Time <br /> Z 01 lint <br /> (�ignaturelAffdiation) Date Time Received by (S�i nature/Affa i ) <br /> Date Time <br /> Report <br /> : C � a'l G4<< Bill` o ULT AR IN <br /> 525 West Third Street <br /> /-)P l Hanford, CA 93230 <br /> Attention <br /> WHITE Return to-Client with Report YELLOW Laboratory Cop INKA)Tiginatvtopy 'Ze°°" <br /> 4 X(, 00 <br />
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