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ARCHIVED REPORTS_XR0004193
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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800
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3500 - Local Oversight Program
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PR0545339
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ARCHIVED REPORTS_XR0004193
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Last modified
2/11/2020 7:26:58 PM
Creation date
2/11/2020 4:55:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004193
RECORD_ID
PR0545339
PE
3528
FACILITY_ID
FA0003633
FACILITY_NAME
ARCO 07049
STREET_NUMBER
800
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206042
CURRENT_STATUS
02
SITE_LOCATION
800 E 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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ARCO Produc s CompanyU �6 y� _ z Chain of Custody <br /> Division of AllanhcR chheidCompany Task Order No <br /> ARCO Facility no City Project manager _ Laboratory name <br /> �[1��,— _ <br /> (Facility) IL �I L (Consultant) <br /> ARCO engineer 1 /1 Telephone no Telephone no Fax no <br /> L <br /> f 1 A(LG C[�1 i�1 C {ARCO 41) 7 tr z�ra L (Consultant) /h ��j �' �v (Consultant) %)� �s� ��[' Conlr cl number <br /> Consullant name <br /> ES�j Cdonsuuant]�iIE'tf <br /> Matrix Preservation <br /> n Method of shipment <br /> ❑ <br /> s n�7 '^-} <br /> Q t7 E N �m 1O� o wy _ ❑ J <br /> v N <br /> m rn a m -a m m L <br /> 0 0 Sod Water Other Ice Acid c s � 8 m O tel] owe <br /> Cl c aF a d 2 7e� F� v w � C <br /> C E w� w4 Sr, 1OM X r 4 Q C �� mWN <br /> U m m �n aa as a a d Um mme <br /> fq +n m.� mw rr.7 Oa rw w w w r� U� ��� <br /> Special detection <br /> Limitlreporting <br /> q)-h+�j I rt X 1� ISI -r��1CV1If 1 <br /> t1 ' <br /> Special QAIQC <br /> I <br /> — Remarks <br /> — Lab number <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Day Ej <br /> Condition of sample Temperature received <br /> Flush <br /> ftuisedmpler�r ) Dale Time Re w by2 Business DaysCQ Expedded <br /> , Dal Time Re ed y/ ,} 5 Business Days D Dat Time Received by laboratory Date Time Standard ` <br /> 10 Business Days <br /> Distribution White copy—Laboratory Canary copy—ARCO Environmental Engineering Pink copy—Consultant <br /> APPC 3292(2 91) <br />
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