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ARCHIVED REPORTS_XR0005430
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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2402
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3500 - Local Oversight Program
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PR0545640
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ARCHIVED REPORTS_XR0005430
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Entry Properties
Last modified
5/5/2020 2:14:17 PM
Creation date
5/5/2020 1:32:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005430
RECORD_ID
PR0545640
PE
3528
FACILITY_ID
FA0003900
FACILITY_NAME
PACIFIC PRIDE COMMERCIAL FUEL
STREET_NUMBER
2402
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
12506001
CURRENT_STATUS
02
SITE_LOCATION
2402 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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CASTL ANALYTICAL LABORATORY • <br /> CHAIN OF CUSTOD� <br /> loa�� � <br /> Location 2333 Shuttle Drive, Bldg 9031909, Atwater, CA 95301 Certificate No 2079 <br /> Maumg Address 2333 Shuttle Drive, Atwater CA 95301 PAGE_ I OE_L <br /> Phone (209) 384 2930 Fax (209) 384 1507 <br /> Customer ))l�, �_2� REQUE T4 ANALYSES Method of Shipment <br /> Address L4005 Nor ih Loi 1_Son %A-'1 <br /> City/State/ZIP cC1ah- ?N VirlW <br /> ^o a n 3 Notes <br /> Phone / FAX ���09 U lvZ-I rr y 1� --11 I V�' ��� w �•�1 t.� <br /> Prof # / P 0 # C'�1 t o ! a W a LU o n o 'Aeee,ad SeAkd <br /> Report Attention n a a o � T'Y jp('- - <br /> Sampler Signature a o o m * t w ; <br /> ! <br /> Printed 0 84929 <br /> ' - <br /> Lab ID# SAMPLE ID DA fE TIME DESCRIPTIONlLOCATION °" 0' 84 930 <br /> + KW�l -q-9k - 4' ZnCiIr r <br /> } MW ZI I-q-qV � 84931 i <br /> 41J- -9 � '! ZS' i r <br /> + 84932 <br /> t <br /> 84933 F <br /> i MW (v -qi <br /> +2 - _� 3:� 8493.4 <br /> �) -5- <br /> } Hw- l- 4 3'qP 84935 <br /> 01-1 r <br /> y 84936 <br /> J ,� , r' <br /> + v f- .ti s'yv3 __84937 ' <br /> h <br /> 84938 i <br /> iTIt'ir <br /> _84939 _ ,to <br /> S nature Printed Name Date Time Company Name r <br /> Relinquished by2 L et � ��! - - v(, 7 dmh- Note P 8440 } <br /> Received by H� ;aCA 1-15-99 C author zed laboratory personnel ` <br /> Relmguishe <br /> Received by WAS Q <br /> Relinquished by P1 ESERVATINZ I RESULTS DUE <br /> Received by lu k PHOPRIATE VERBALAt _1 WRITTEN <br /> %.) <br />
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