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ARCHIVED REPORTS_XR0003635
Environmental Health - Public
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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420
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3500 - Local Oversight Program
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PR0545336
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ARCHIVED REPORTS_XR0003635
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Entry Properties
Last modified
2/10/2020 4:48:43 PM
Creation date
2/10/2020 4:18:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003635
RECORD_ID
PR0545336
PE
3528
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
02
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD a4le } <br /> �RHTAIL ENVIRONMENTAL ENGINEERING - WEST S nal No _+50 1 Yagc � of <br /> Site Address <br /> I AV(, ( tti 1� , <` �r Analysis Requi�i LAB: <br /> CHECK ONE(1)BOX ONI. lT/I1T TURN AROUND 71 M1 <br /> WI( fi � ..� C� �1c _ _ _ _ <br /> mac. - � � 1� B7 <br /> Shcll Fsglncer tt 1 Phone No `i 1c) Quarterly Monitonng — 24 hours <br /> S4l41 ` - - <br /> l Se Investigation <br /> onFat L ( 1 544148 hours j <br /> f imsultant Name dt Address �,1 Soil fm disposal U42 lS days-r" Ili e' ` Y /h (Noremill <br /> 11 �`� 1 6-4-4 ` I c 31 Water for disposal 5443 <br /> Consultant Contact 1466 No `f t(o N Air Sample Sys O&M J 5452 Other — <br /> C {�} NOTE Nudify l ah a% <br /> Fox M �'� -3 r Q t} Water Sample-Sys O&M ] 5453 <br /> Cornmcnls $ + soor111s possible of <br /> nl Oilier 24/48 hrs TAT <br /> Op f4 <br /> SamIcd B < ao <br /> P Y � < P, �j Q = - � � � SAMPLE <br /> p, py ,lei MATERIAL <br /> NunicdNunc - . f �G — - -- --- -- �+ L+ � ,o j Df tICON COMM[ N1N1 <br /> 0 a � � � c COMMI N7ti <br /> Sample ID [)ate Sod Water Air sf � ' ` <br /> J ' <br /> 4 � X OI - <br /> Be <br /> r t+ <br /> Rll cd lay (sl nature) r,te�name Date 3 ! y Re v (signature Printed name..� Date <br /> L✓ Time 100 / w.-- <br /> Date Tunc <br /> Rchrylwshcd Ay (signature 1'rmled name Date . y Rece ed sl re Printed name Dow 3 <br /> f f °• -} J l� 1 Time w��` L7�7v/�L{ 1n,C'� ' •�ti_ Timej 1 <br /> Rclinyui y (signuufc) Printed name Date laved(signature) <br /> —7 — -4 / 141nlcd name flair <br /> efc•. /1r�1� Time/ finny LUrt Tlntr CqOC, <br /> 711E 1 ABORATORY MIIST I'ROVII)E A('OPY OF fills HA1N OF('IISTODY WITH INV(N( F ANI) Rl till) TS <br /> t r.l Rt vj%jiPn hall I0/15111 <br />
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