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ARCHIVED REPORTS_XR0004136
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_XR0004136
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Entry Properties
Last modified
2/12/2020 4:18:17 PM
Creation date
2/12/2020 9:09:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004136
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
Tags
EHD - Public
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Advanced CHAIN OF GUSTO ECORD <br /> GeoEnvironmental, Inc. Date ,L 4 o s Page <br /> 11 <br /> 837 Shaw Road- Stockton, California-95215- (209)467-1006 -Fax(209)467-1118 Z—a j- <br /> Propwt Manager X� <br /> Client GrA C v L L� E Tests Required <br /> Phone Number <br /> Qciy07 - /0� b <br /> Sam- piers. (Signature) Invoice <br /> AGEProject Name � <br /> F IAAF �►n� AiAA T � �� 4� CllerltE <br /> o <br /> Sample Location Date Time Wam le Type Solid No of �( ��(,� nr� Notes <br /> Number Description Comp Grab Air Cords �l \ <br /> Stir I &""^aj 7 j Bra55 <br /> 6-7 � S 5411 s s )t)5151 317 xr <br /> I1 Al Q , VO ,\ <br /> rr <br /> �-1 S +► k� 15 �� �s 4 5 <br /> i — Z r' �r I•r, '� e V p r <br /> +r <br /> 37 Z15 rr :. ++1, AT Z 5 # S - 55 <br /> r` <br /> ��_ Q Ir „ r+ 1► �4 eta 9 . 00 fL <br /> 3- _ 3-5 AT <br /> ►, <br /> e i qurs ad by igrnatureReceived y rgnatura DatslTtme <br /> S f0 <br /> Relinquished by (Signature) Received by (Signature) DatelT+ma <br /> I <br /> Relinquished by (Signature) Received by Mobile Laboratory lot field analysis (Signature) Daterrime <br /> i <br /> Dispatched by (S�gnature} DatelTrme Received for Laboratory by I DaterTrm <br /> - E t' <br /> Labo ory Name <br /> Method at shipment r <br /> CA F /Vit 4 <br /> 1 hereby authorize the performance of the above indicated work <br /> Spacial Instructions <br /> 1 <br />
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