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ARCHIVED REPORTS_XR0004116
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1301
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3500 - Local Oversight Program
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PR0545342
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ARCHIVED REPORTS_XR0004116
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Entry Properties
Last modified
2/12/2020 3:17:05 PM
Creation date
2/12/2020 8:58:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004116
RECORD_ID
PR0545342
PE
3528
FACILITY_ID
FA0000392
FACILITY_NAME
FLAMES LIQUOR
STREET_NUMBER
1301
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03104030
CURRENT_STATUS
02
SITE_LOCATION
1301 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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McCam bell Analytical Inc. • <br /> p <br /> 1]0 Second Avenue South,#D7 CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> Pacheco,CA 94553-5560 <br /> f (925)798 1620 WorkOrder 0212016 <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProtectNo Flame Liquors Date Received 1213102 <br /> PO Date Printed 1213102 <br /> l <br /> __T Requested Tests �� 1 <br /> Sample ID ClLentSamplD Matrix Collection Date Hotd 6021BI8015 SW82606 <br /> � J <br /> 0212016-001 _ MW1 Water 11129102 1 06 00 PM W❑ A B - - <br /> 0212076-002 MW2rw -^ Water 11/29/02 2 06 00 PM ❑ A B <br /> 10212016-003 MW3 Water 11/29!021 3900 PM ❑ A B <br /> 0212016-004 MW4 u Water 11129/0212 37 00 PM ❑ A _ B -- -- —� ------- ----- - ------ <br /> Prepared by. <br /> Comments <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br />
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