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ARCHIVED REPORTS_XR0012470
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_XR0012470
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Entry Properties
Last modified
2/10/2020 9:23:00 PM
Creation date
2/10/2020 4:29:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012470
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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' Dale: tt-oo <br /> WELL OIL COMPANY HAIN o� CU oo�r >7�coRD <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No• Page a1 �.-I <br /> Site Address: 4Zo W• Kvfhelman, Lod.r* Analysis Required LAB: .-ew 6 <br /> CNECK 011E(1}rax ONLY cTID1 TURr1 AROUND TIME <br /> rn L [f�.Q 1.t 9S 9 9'55 Z.S r:. a W MonRorin9 ❑ "41 24 hours ❑ <br /> Shell Engineer: p-39�(.46_-9301, SAalnrarllpallon ❑ 4441 44houn ❑ <br /> Kw-evn F Fax f!: W-59" <br /> Name &Addr (y, soRaurirry/Duporel ❑ 4441 <br /> ess' 16dayt <br /> COflSirllonl fllormaq <br /> CAMtant �µf1R,cNMErvTA•V 1wa41Va1.-0141.100.- <br /> P.O. 15Qg ZS9L SONOMACA 7 Q closdly/Dupo.o1 ❑ 4443 01ha ❑ <br /> Phone No.: Y <br /> Consultant Contact: N m Solr M RamorSye, <br /> ('fern)gis 4S$9 N in Cd p s M 4451 <br /> r10Tbt rroTlly taboo <br /> A uFaX� COG L :�'1d1}4 'K49 q "� Wo1w Rom.or Sys loon or FOS rlblo o! <br /> Y (� d0 a M [:] "6384/16 hrr lA1 <br /> IJU <br /> Comments: <br /> 2 2 V a w Z 01h.r ❑ <br /> 15 <br /> Sampled by: A C, o o eo a m C usr AGENCY: <br /> ¢ ¢ d Q C o c o SAMPLE <br /> Prinled Name: y Lu _ 0 .a a y [] E MATERIAL CONi71IlON/ <br /> Tsw� No of x W w 0 a► 0 DESCRIPTION <br /> Sample ID Dale sl+ - soil water Air N } a u V COMMENTS <br /> corals f=' _ <br /> — <br /> SB 1315 <br /> SB - <br /> . S <br /> 1335 Y �k% <br /> S�r r V1J• � � � �(J <br /> � r <br /> sg - 1 � �4.5' !3 <br /> Revel ed(sl ure}; Ponied N e. Dale: H ea <br /> Tp— <br /> ve��tg slurp , ,r PfIr led amo: C-00 Dale: 2-3o . k � r3� <br /> L�&C f'1-�- llr�� • <br /> Rsllnqulshed B na uie): P1iltfed.i�� �� Dale: ` rt��aociviUsignaluie)e sl nature}; h r led Nam Dn e• <br /> ! ! C <br /> 11me /'Y AN Time: �'�0 <br /> Relinquished 9y Cslgnalure); P1lnled Name: Dale. Prinled Na ne• Dole; <br /> Time- Tlmo; <br /> TUrIAROVATORYMUSTPROVIDER - U 0 0 nwgron�IWee� <br /> I <br />
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