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ARCHIVED REPORTS XR0011222
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FREMONT
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2185
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3500 - Local Oversight Program
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PR0544922
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ARCHIVED REPORTS XR0011222
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Entry Properties
Last modified
10/7/2019 3:36:19 PM
Creation date
10/7/2019 3:18:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011222
RECORD_ID
PR0544922
PE
3528
FACILITY_ID
FA0003284
FACILITY_NAME
FOOD MART GASOLINE*
STREET_NUMBER
2185
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
14113045
CURRENT_STATUS
02
SITE_LOCATION
2185 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Unramer Inc. 6EACON <br /> CHAIN OF CUSTODY REPORT <br /> Beacon Station No. Sampler(Priv!Name) Date Form No. <br /> CUr/l owl �e eh^- ,�►'' ANALYSES6-M—" of <br /> project Ma. Sampler ftnatturie) / <br /> / DOS" /D CD <br /> Praject Locatiorr Affiliation C <br /> Z! ?r 0. imarr f . . �$ <br /> 5 rr G A. /wy/ zl t . a <br /> ° 5frr• T/q 1 <br /> SaffcM NoAdentiBcalinn Date Time Lab No. m ° REMARKS i <br /> I 6-22.94 265 X <br /> . Lee. rellor- Iva <br /> I. <br /> i <br /> Relinquished by:xv7o� <br /> Date Time Rec � . S � Date Time <br /> J <br /> �►Go'�'� f <br /> Roll n D to Time b . ( Affi 0 Time <br /> f re i r h M y;Ift n at u'rWM ON Date Time Receiv ature/Affiliation} ��� Time <br /> ABpa B . ULTRANG. cQEo <br /> 5a�w8 l,irtf Street <br /> Hanford,CA 93230 <br /> Atterdion:(if. <br /> WHITE:Return to Client with Report YELLOW:laboratory Copy PINK:Originator Copy <br />
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