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ARCHIVED REPORTS_XR0012474
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_XR0012474
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Entry Properties
Last modified
2/10/2020 8:10:04 PM
Creation date
2/10/2020 4:31:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012474
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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EQUIVA Seqfts LLC Chain Of Custody Record <br /> 47 Equiva Project Manager(To be Invoiced} <br /> G W99, DATE <br /> 557 - 6 Ys-y3°C <br /> +� S S 9 6 fir"S 6`�3 PAGE . a <br /> ITE ATB �a J3trM.nd CRyi� <br /> 4Qn�{7/•tea /�J•ren r� L !� I�✓� 5 !�-C �c�� C�dcT <br /> LT <br /> 8 M"Aa 0)I.w. <br /> mom= <br /> 7a-2- 3 3 Z. 49 70�- y3S'.LGYT wI� G.>d z1 Z.,e wiS <br /> U NAROVNQ TIME USIN SS DAYS) <br /> © 1 ,0 DAY S DAYS [3 72 HR [3 48 HR [:PAHR C34 HR RE UE S PINALY3IS <br /> ©LA.RYV,1CB REPORT FORMAT UST AGENCY <br /> ODMS MTBE CONFIRMATION HIGHES r- HIGHEST per BORING_ ALL_ � � � m 6 Field Notes <br /> M <br /> SPECIAL INSTRUCTIONS OR NOTES TEMPERATURE N R CEIPT IC) G n Container/Pnaervadve or PID <br /> s Readings <br /> S or Laboratory Notes <br /> Field sample Identification aAMPLINO wx we awaT aQa ;� <br /> DATE TIME m m } 7 W 9 1 WLJ } > } } h <br /> J <br /> .5y , +, 9 <br /> J40- <br /> 5-, S i I! V b�Y <br /> 8 - 7 J aBSL x <br /> /"� t✓ Goa <br /> w-7 - !1` o o <br /> - Y - Zy `_ 496 <br /> LI/ o <br /> 09Yl I I I I I I <br /> R*hnquen I81pnNUf•] .arv.d°Y leWn•+Ur•I rh .m. c <br /> b <br /> A• ;3qn. r.y Raw,"by f8"tar.l Dm Tlmr <br /> oup D v <br /> R .d by ISWn.twq Raced Py ISyaatur.) Pau Tkm qw <br /> M37AIDUTION WW.H..0 Mal aspen,Organ b Fila Yalm and Pink h plwra 10116NQ R.vbwn O <br /> COOLER CUSTODY SEALS INTACT <br /> NOT INTACT O <br /> COOLER TEMPERATURE-----L----2(- <br />
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