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ARCHIVED REPORTS XR0001866
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 XR0001866
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Entry Properties
Last modified
5/21/2019 4:51:57 PM
Creation date
5/21/2019 4:37:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001866
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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EHD - Public
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r <br /> i <br /> Miramar inc. REACON <br /> a r CHAIN OF CUSTODY REPORT <br /> Beacai Station No BBACON 695* Sampler(Print Name) ANALYSESis <br /> Date Forrn No <br /> Hal Hansen of .z <br /> Project NO 94-695-01 Sampler(Signature) / <br /> Project Location Affiliation noulos Environmental o <br /> Lodi, CA Q <br /> a <br /> Sample NoAdentification Date Time Lab No REMARKS <br /> 1if-24 3.ip r5 L r 11533-02 <br /> Mw-25 11533-03 <br /> Mot-27 I Z Jr 1.1533-04 X 5( S <br /> -28 ,� 11533-05 X 3 <br /> -HW-29 l �� 11533-06 <br /> I-30 �' 7 11533-07 <br /> _11533-08/i " <br /> Relinquished by(Signature/Affiliation) Date Time ReoVirau -ff Date Time <br /> �/&** A I I -�/* 1,?e,, <br /> Rail relAffi a tme Re aiu ilia o <br /> eiin44&9hy(-9rgn -lwifA f ff4bWrDee Time Received by Affiliation) [ DATE <br /> TE 4r L° 0 Irl <br /> Report To Sheila Richgels Bill To Ultramar 1,;TI"IL <br /> Hugxo west, Inc. 525 w arc! Street WEST LAB <br /> 1050 Melody Lane, Suite 160 Hanford, CA 93230 <br /> Roaeville, CA 95678 <br /> Attentioi, Kenneth Earnest <br />
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