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ARCHIVED REPORTS_XR0012743
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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601
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3500 - Local Oversight Program
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PR0545338
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ARCHIVED REPORTS_XR0012743
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Entry Properties
Last modified
4/9/2020 9:06:40 AM
Creation date
2/12/2020 8:31:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012743
RECORD_ID
PR0545338
PE
3528
FACILITY_ID
FA0003803
FACILITY_NAME
KETTLEMAN CHEVRON
STREET_NUMBER
601
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04728006
CURRENT_STATUS
02
SITE_LOCATION
601 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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r <br /> r <br /> KAPREALIAN ENGINEERING, INC. <br /> K <br /> CHAIN OF CUSTODY <br /> SITE NAME b ADDRESS <br /> I ANALYSES REQUESTED I TURN AROUND TIME: <br /> PlE k <br /> I <br /> {WITNESSIH E XCy <br /> N-—D-• !Ii <br /> I <br /> � RE <br /> SN�A1K5 <br /> SAMPLING <br /> SAMPLE DF I <br /> Sot IuATfRILRAB{CEt�1CONT.I LOCATION <br /> ID NO. DATE TIME o <br /> [ o {I <br /> I <br /> Jo G! <br /> ISI I I I I ! Itov [ fva � ! <br /> I I 1 I I I I I <br /> 00 <br /> yqS� k <br /> I I <br /> �� ��• ���y I �(.. I I`� I I ` I�� t o $[!a b <br /> =�� <br /> {Signature) I The fotLDwing MUST SE compteted by the laboratory accepting sar'Ples <br /> X;�� <br /> {Si4nature) I Date/Time I for analysis: I <br /> � 8-1-21 '1{7� �. 7. Have all sales received for�r�etysis been stared in ice? I <br /> IReti"ish b✓: (Signature) I Date/lime I Received try: (Signature) I �/ <br /> I I 12. Still senples re++uin re(riger until analysed' <br /> ! I <br /> IRelincluished b/: (Signature) I <br /> Date/Time Received try: (Signature) 13. Did arty sarsptes received toalysis have heed space? I <br /> 1 I I } G, Were sarples in alapropriatc c finers and properly packaged? I <br /> IRelirrpished b/: (Signature) I Date/Time I Received by. (Signature) • <br /> I i <br /> ! I I I Signature iitieDate 1 <br />
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