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ARCHIVED REPORTS_XR0012465
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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_XR0012465
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Entry Properties
Last modified
2/10/2020 9:46:16 PM
Creation date
2/10/2020 4:26:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012465
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
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EHD - Public
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1680 ROGERS AVENUE AGOS <br /> BL N " SAN JOSE,CALIFORNIA 95112.1105 CONDUCT ANALYSIS TO DETECT LAB fttw ILDHS# <br /> FAX(408)573-7771 ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTION <br /> TECH SERVICES,INC PHONE(408)573-0555 LIMITS SET BY CALIFORNIA DHS AND <br /> h ❑ EPA ❑RWQCB REGION <br /> CHAIN OF CUSTODY ❑ LEA <br /> DO It 30 -K 1 i ❑ OTHER <br /> CLIENT w <br /> E iva- Karen Petryna z SPECIAL INSTRUCTIONS <br /> SITE 420 W Kettleman Lane o 0 <br /> Send Invoice to Equiva <br /> Lodi, CA <br /> H o Incident# 98995525 <br /> v 0 0, 0 Send report to Blaine Tech Services, Inc <br /> MATRIX CONTAINERS 0 > <br /> to mn <br /> �w waa ATTN Nick Sudano <br /> v x <br /> SAMPLE I b BATE TIME U A, <br /> Cn TOTAL II ADf3`L INFO <br /> RMATION STATUS CONDITION LAB SAMPLE# <br /> 0> vrr�� �4 f v1('1NrJ4 t/M r �= <br /> �rrg E, Di I"- ?`,+M a A <br /> f <br /> r <br /> SAMPLING JDATE ITIME SAMPLING RESULTS NEEDED / <br /> COMPLETED fl- �o ��1 p PERFORMED BY ���,J d„i �/'a �vI NO LATER THAN ,��.wJt�r <br /> RELEA D BY DATE TIME RECEIVED BY DATE ITIME <br /> - 12.1.00 <br /> RELEAS BY DATE ITIME RECEIVED BY <br /> DATE TIME <br /> RELEASED BY DTE TIME <br /> oRECEIVED BY <br /> J�If::r IDATE TIME � <br /> 12� CIOSNIPPED VIA '� <br /> DATE SENT TIME SENT 1COOLER#_ /Z 2-9 <br />
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