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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOCKE
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12470
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3500 - Local Oversight Program
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PR0545392
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Last modified
3/5/2020 11:58:37 AM
Creation date
3/5/2020 10:37:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545392
PE
3528
FACILITY_ID
FA0004054
FACILITY_NAME
Valley L P Gas
STREET_NUMBER
12470
STREET_NAME
LOCKE
STREET_TYPE
Rd
City
Lockeford
Zip
95237
CURRENT_STATUS
02
SITE_LOCATION
12470 Locke Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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13760 Mapiulia v Chino C 710 Please; Prizrt ill pee fogy of <br /> A P C L ICI: (904) 51301-1828 fax: (909) 590-1448 cl-9 <br /> CGent: -IAC 1� G L�f�IJK` �'Carl tact. L .� Tr.i � j I S :�G pa.x <br /> Address: <br /> Bill to:-,CK <br /> Uw An yhist ILrnts— -- <br /> Ptojec:L Nalne/Code Jol� �; -P'0- # _ S'hitc- With repore <br /> Project Addresti Q APCL Quotation # Ycllcnv -Lab Dopy <br /> T)ur. I1aLc: ❑regular rusft: day=s _ hours SanLlslcli by: � `Pink-Originator <br /> Field sample 5atnlllc Da.Ie 1'inLc: Sartiple 1'reser �� of <br /> 1I) No. D"criptJort CoIlccted Matrix vatioll Cnnlaincro � — Remarks <br /> FYTM <br /> AT <br /> SC-1- <br /> ___ <br /> qC Ilequirernent: ��legvlat; ❑QA/QG Relrorl; ❑WIP; [IRavi Data; jllmtend+j 11mv Dalo FICLI'i E]AC4' F'AFCIIP ❑NP1r,3A (A.,CorD); Other (Plersseepecify) <br /> SnrnI'le Disposal; ❑IWurn',,0Dicpornl by APCL. ❑ltnld for—_ days alter receiving daLv- It rsol npoeifled,I prnplee wall b? dlacarded 0 drkys nfr.r•.r imnrple�s are received. <br /> Sample Conclifiorre: 01111,L; ❑Brokkeen�. Coolcl Sr.al: ❑iutna, ❑Broken, -� lafone . Tag . lit perelurc: ❑ bloom ❑Cold °C). <br /> Relinquished by ,;. ' ��.�•---T�'�I.f�'I'ime�J9 y 9"v f /� I?•eccived by <br /> R.P,linqui.9hed by lty Datc/Timc <br /> APCL USE ONLY Srl•vice. Nu1,e: _ --- <br /> (;lienU understand lhr"1 all Lorna dcscribivl in lira proporalo, quoLr�tioll/ for this pmjitrt, nnd�or the general Lerrns provided ir, the currrn4 AP CI,prirc eched�alre will be(ollowed. APCL reaervice the rig)il <br /> 1n tern.insle its "(%,ice or wiLhhoLd delivery of achy reports, if in APGVA sole dircrctivn lha trrms of the projscr have been hrcAen. <br /> DATA.r.AnLCrt.trr+.rrno•r.rrrx PD.-ICue T.DATA•r.An}au A1rlr TUX <br />
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