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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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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� <br /> CHAIN OF,CUSTO�ECORD <br /> Advanced <br /> --= GeoEnvironmentai, Inc. Date J r Page �- Of <br /> — <br /> 837 Shaw Road-Stockton, California-95215-(209)467-1006 - Fax (209)467-1118 l / <br /> CliernProject Manager L Y'���Required <br /> CA- P -t T �d <br /> Phonemb <br /> er <br /> rZa <br /> Samplers (Signature) I Q Invoice <br /> Protect Nape v �i ,�t <br /> g AGChe� <br /> Sample Location Date Time Sample <br /> Sample Type Spud No of f �r�i� Notes <br /> Number Description Air Conts 1 <br /> y� Comp Grab t <br /> YCJ 9 "11 <br /> Llk- <br /> i <br /> if �rPt r YS F-T t <br /> 3�— 50 <br /> 7G 70 F-1: d <br /> linquished b nature eceive y (signature) �^ <br /> 1�wn C� d <br /> 5 A f , r <br /> Relinquished by (signature) Received by (Signature) atelTime <br /> Relinquished by {Signature) Received by Mobile Laboratory for field analysis (Signature) } DatalTrme <br /> t <br /> Dispatched by (Signature) DatelTime Received for Laboratory by �r > f Dater <br /> gLMethod of Shipment �^ Laboratory N e <br /> special Instructions 1 hereby authorize the performance of the above Indicated work <br />
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