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ARCHIVED REPORTS_XR0013013
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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MINER
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3310
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3500 - Local Oversight Program
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PR0545561
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ARCHIVED REPORTS_XR0013013
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Entry Properties
Last modified
10/12/2020 10:55:26 PM
Creation date
3/17/2020 4:25:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0013013
RECORD_ID
PR0545561
PE
3528
FACILITY_ID
FA0009490
FACILITY_NAME
KENTS OIL SVC INC
STREET_NUMBER
3310
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14339005
CURRENT_STATUS
02
SITE_LOCATION
3310 E MINER AVE
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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7046 A 9561fi FAX#:976-753-6091 Drive, Suite 916-753-9500 <br /> DaV1S, CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Western Envrronmenral CCA <br /> Science&rechnology LAB#:916-757-4650 <br /> Project Manager; Phone#: <br /> Lt (9 to Jq�Lj-.12--3 ANALYSIS REQUEST TAT <br /> CompanylAddreesss 123 Z1.5 FAX W.E.T• <br /> L3 mL,,-- &-.0 ^_iU SexcmgLleCc' 01J;- y <br /> in TOTAL(.-) 3 <br /> Project Number: P.O.#: Pro'ect Name: oLC ' o <br /> N N <br /> LL m � Y <br /> N <br /> co 3 <br /> Project` Location: <br /> �eo ampler Signature: m 0 m N <br /> Mu� o v m � - L lid <br /> / Q m Lr) Q N N N <br /> C] <br /> Sampling Container Method N �; o ro m a s o ° N a N Z r w w <br /> P 9 Matrix o �, m y o 0 0 o d o o o 5 Q = u7 w <br /> Sample Preserved m N N a = a [a <br /> a <br /> w to U o 2 a' °a °G �- °� m m m ap m � U � o N � w � LL <br /> ID <br /> ti ca w fa a to m `m d U} o a0 <br /> DATE TIME ¢ w Q a O w w J x � M O (D (D cp ID W m W ¢ a Q = w z <br /> O � J U z w 0 ¢ 0 w w = m Q ¢ ¢ ¢ ¢ Q ¢ M Q ¢ U cr} d ¢ <br /> U] a 2 2 U Z In W m F F Fes- rn w a d w a a a Q d ¢ d w U x <br /> w w w w w w O Ct U w r u.! (n <br /> ~�3 ? r3 3 <br /> ----------- <br /> Relinquished by: Date Time Received by: Remarks: <br /> Relinquished by Time Receive by: <br /> Relinquished by �� Rec y' ?c ra Bill To: <br /> L-.l "LL.—J L..J L, i 4,...-I � '" -&.J L.,.J r... J L._ol 'L—J ISL...! �.._..,� <br />
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