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ARCHIVED REPORTS XR0009151
Environmental Health - Public
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EHD Program Facility Records by Street Name
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E
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EL DORADO
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3147
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3500 - Local Oversight Program
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PR0544705
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ARCHIVED REPORTS XR0009151
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Entry Properties
Last modified
7/29/2019 11:07:07 AM
Creation date
7/29/2019 10:54:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009151
RECORD_ID
PR0544705
PE
3526
FACILITY_ID
FA0003754
FACILITY_NAME
CALIFORNIA FUELS
STREET_NUMBER
3147
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17512003
CURRENT_STATUS
02
SITE_LOCATION
3147 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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rl�� rr <br /> CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 OF_t_ <br /> Phone (209) 384-2930 - Fax (209) 384-1507 <br /> Customer L'e k } ,, REQUESTED ANALYSES Method of Shipment <br /> Address tAOD� yI i y} <br /> City/State/ZIP � } o y w Notes <br /> z <br /> Phone 1 FAX c ) y W in m z Twa.- <br /> Proj # 1P0 # G� Ch, t.� r� I ° d _ _a a m o a 0 <br /> LL <br /> Report Attention w 8 a a CL O � t <br /> i <br /> Sampler Signature g <br /> Printed z <br /> Lab JD# SAMPLE ID DATE TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br /> ��a Sf t2 � � So �e yin �•�e!1 <br /> Zia W <br /> jk <br /> Total number of containers submitted to <br /> St tune Printed Name Date Time Company Name the laboratory <br /> Relinquished by / � }+Qy Note All special requests(e g quick <br /> turn times)must be cleared through <br /> Receroed by slAkh authorized laboratory personnel <br /> Relinquished by <br /> Received by <br /> Relinquished by RESULTS DUE <br /> Received by <br /> VERBAL WRITTEN <br />
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