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ARCHIVED REPORTS_XR0004118
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_XR0004118
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Entry Properties
Last modified
2/12/2020 3:14:20 PM
Creation date
2/12/2020 8:59:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004118
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Mccamp ell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder. 0203200 <br /> Client <br /> Advanced GeoEnvironmentai TEL <br /> 837 Shaw Road FAX <br /> Stockton, CA 95215 ProlectNo Flame Liquors <br /> PO 12-Mar-02 <br /> Requested Tests <br /> Sample ID ClientSamplD Matrix Collection Date Bottle 60218/8015 SW8260B <br /> 0203200-001 4MW1/031002 Water 3/10102 10 44 00 AM A B <br /> 0203200-002 MW-2/031002 Water 3/10102 12 10 00 PM A B <br /> 0203200-003 MW3/031002 Water 3/10/02 1125 00 AM A B <br /> Comments. <br /> -- - —--- Date/Time -- Date/Time <br /> Relinquished by _ _ _ Received by. <br /> Relinquished by. _ Received by <br /> Relinquished by: Received by. _ <br /> i <br /> NOTICE Solid samples are discarded after 60 days and Non-Solid samples are discarded after 30 days unless other <br /> arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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