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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
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EHD - Public
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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale: 2 -tt -00 <br /> RETAIL. ENVIRONMENTAL ENGINEERING - WEST <br /> Serial No: Page 7— of*."7 <br /> Site Address: 42o w• KefHftcmapi It Lel• Analysis Required LAB: I S fe�o' a.. <br /> CHECK 011E Pty BOX Orur CT/DV 1011 AROUNC VMF <br /> a W. montlodnq ❑ 4ASt ❑ <br /> ZAhowt <br /> Shell Engineer: C55ner;. ^g3o6 fll.Inr•snpalbn ❑No : A4A1 46 hours ❑ <br /> K&ye, n E h t=ax 1i; w-%49 a W �,,../ <br /> Consultant Name &Address: 9 a sonclatrnrrobaot«l ❑ � 19 days r�[k(1lorman <br /> CA VA&MA fPnNVlR�oNME'�Tp.1�... HNDLb(M'j'*IG. Warr �`�C <br /> CA o O Chsdly/Dkposar ❑ A44� O1h.r ❑ <br /> Consultant Contact: Phone No : = v m SoRFAltRom.ofSyt ❑ <br /> C-ron)9��-4859 N °; to u F. O&M A�sz NOTE- 1roillytab at <br /> AI�OKE Cool Fax #: v)m-609 0 Q1 Qin Wafer Ram or Sys Poon Possible or <br /> C9 Q mow. o � o d M ❑ 44sa 24/48his tAr <br /> Comments: o o N to a <br /> n ❑ <br /> � � 1 � � a � Z o1n.r <br /> C <br /> Sampled by: [,�,�.� o rn o. o c LIST 'AGENCY: <br /> o <br /> co co <br /> Q ¢ nd o r � "0 SAMPLE <br /> Printed Name: "- Us � z= a -a b � 6 6 a MATERIAL <br /> 0 �- a E CONDITION/ <br /> Ti No of x x o a 0 o o DESCRIPTION COMMENTS <br /> Sample ID Dole -9tadae Soll Water Alf cants Ph p- m > w U Q U U <br /> r <br /> Sg- — — <br /> l - �•5' f415 X X �� <br /> 58 - <br /> s2. 5 5 <br /> - <br /> S �p _ — <br /> ss-2- 10 5 <br /> RRee 11naq u s d-ljy�{{ssll gnsal'tre)• _ <br /> S13-2 -20. 5 5 <br /> 3I3- 2 2r 5' 0900 - <br /> 71 <br /> Race <br /> Pri IladName nalur Dale- 2- l4 <br /> lime, 1330 s _x <br /> — <br /> — <br /> larinle¢NNaa�j <br /> ��DDaa�ties; <br /> ld <br /> - <br /> PilnloDale Rare <br /> 19 <br /> lime: ZY2 Z4, Mk= Time: <br /> Rellnqulshed By(slgnoluro): Prinled Name: Dale; Recel d(signature); P1lnled Name, Dale: <br /> lime <br /> limo: <br /> IN-OF-CUSTODYIN-OF-CUSTODY W1111 lfNQjg.F.AND gisgus <br /> ng tABoRATQRY MOST PROVIDE A Q Py OF 141w 1w <br /> hw p Ort N G.�..r <br />
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