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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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I I <br /> EQUIVA Services LLC Chain Of Custody Record <br /> Equiva Project Manager(To be Invoicedy, <br /> 'pe- k.-t re , C r�~� r] 5 Z DATE ////6/10 eD <br /> /°fib n t ✓�S r1 6 �lS �3o L PAGE �„of <br /> get.,. 5s�-6YS SLY.3 <br /> l3&".nd Coy) <br /> ,. �,L,�,� 0 �• �jzd 1,,r�s 1�e1` le•�.ti.� L <br /> 270 Pe 41'�s Sfr� I.�nbt Lam,--� 13yL <br /> / ,4w <br /> / A WI'L! 14l <br /> 707-133-2367`,1 -07-135--66Y7 �Go j-V Le4,/J-5 <br /> U NAROUN IM (BUSINESS DAYS) <br /> ❑ 10 DAYM S DAYS C] 72 HR Q 4e HR D4 HR [D4 HR q 4YSI5 <br /> ©LA-RVVOCB REPORT FORMAT UST AGENCY x <br /> GUMS MTBE CONFIRMATION HIGHEST_ HIGHEST per BORING,..... ALL— � � = N C. _ FIeld Notes <br /> • <br /> SPECIAL INSTRUCTIONS OR NOTES TEMPERATURE ON RECEIPT RCI w $ N I Contalnaffireservadve or PID <br /> r c a Readings <br /> or Laboratory <br /> Note <br /> a <br /> UMP <br /> = � Y <br /> Field Sample Identification o,,n `"rME Pox <br /> Ir a e:1 1-Fo <br /> y 0950 1 1 <br /> 7 / eqs4 <br /> 1 1� <br /> /OdD3 <br /> V -r - Jrg Los l <br /> dt <br /> s � <br /> b OY! Nn.Nr.! •o.N.tl by S nuur•I .b .� <br /> A <br /> I <br /> C <br /> b Isgnnun) R.e.M.d ny{Sgn.wrq om 7im• {I <br /> 6\L C$3€ <br /> .bngw,nw ny Isgn.nx•) Rw.—d by{egnaw.) oaa rYn• a� <br /> a <br /> DWRIBUTION VAOW wM Mui fWM GrW to HN Y•now and PMk to CUM 10116A0 Rwl.kn { <br /> COOLER CUSTODY SEALS INTACT ❑ <br /> NOT INTACT <br /> • AER TEMPERATURE 0C <br />
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