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ARCHIVED REPORTS_XR0004196
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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1301
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3500 - Local Oversight Program
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PR0545342
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ARCHIVED REPORTS_XR0004196
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Entry Properties
Last modified
2/12/2020 3:16:32 PM
Creation date
2/12/2020 9:10:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004196
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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Advanced CHAIN OF CUSTODOECORD <br /> { �e �� zt�� Paye � of <br /> --- GeoEnvironmental, Inc, <br /> =- <br /> 837 Shaw Road-Stockton California-55215-(209)467-1006- Fax (209)467-1118 10 ,1 � _ <br /> Cherrt a Pro gym ercAtav- Tests Required <br /> PJVM Number <br /> Lf (&tz S <br /> Samplers (Signature) Invoice <br />� AGE <br /> Project Name U CV-s Client <br /> Sample Type <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description Comp Grab Air Corns <br /> t32 ��► 101'2 i!us lov <br /> e m u a natureece ve y (Signature) � e <br /> Rei quashed by ignature) Received by (Signature) Date[Time <br /> e{inquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelT+me <br /> DateJTamaeived r b oryl Qat ime <br /> Dispatched by (Signature) <br /> Method of Shipment ''Laboratory Na <br /> mp 012a[ <br /> Spacial tastruatwr►s i hereby authorize the performance of the above indicat w rk <br /> '� ` �� ✓ 1rt <br />
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