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ARCHIVED REPORTS_XR0005431
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_XR0005431
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Last modified
5/5/2020 2:39:23 PM
Creation date
5/5/2020 1:33:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005431
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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LSauers
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EHD - Public
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—� :..� .�. ��� s �� �r �� � �� tttti A■■■ � � �� lilllllllllli■ <br /> CASTLE ANALYTICAL LABORATORY 9G�S � CHAIN OF CUSTODY <br /> Location Castle Air Park, Bldg 909 Atwater, CA 95301 Certificate No 2079 <br /> Mailing Address P 0 Box 1360, Winton CA 95388 PAGE_LOF <br /> Phone (209) 384-2930 - Fax (209) 384-1507 <br /> Customer t`, REQUESTED ANALYSES Method of Shipment <br /> Address I q C) t- t-t i0b CVL L t F� Zi er !) <br /> City/State/ZIP 1l }��_ C ° u FX o a Notes <br /> re.s__TC� 1 �'v � o Q <br /> Phone / FAX s - _,� S{o -0 7G t-' 6 w <br /> w ? � cn m - z i <br /> Pro) # IPO # aN a a o = r o 1 82063 <br /> � oLL <br /> Report Attention _ �—i rr1 �+ Z�, tug F � <br /> Sampler Signature g - ~ 'en <br /> q� r <br /> m �j L 6206-4 <br /> Printed u =1 <br /> u z <br /> Lab IDS! SAMPLE ID DA rE TIME DESCRIPTIONILOCATION -:3. <br /> 0!i WILL" it, 3"'L5'1.5 t <br /> (o Mu-s t > O Ll 01 1 1 1 1 1 62066 <br /> ' 6 6� <br /> t�> - I -IL- '1070 <br /> + <br /> 1jY --7 <br /> -I - -4 ' ` w 62071 <br /> 820742 <br /> I <br /> 4� 642073 <br /> Total number of containers submiNed to <br /> attire Printed Name Date Time Company Name the laboratory <br /> Relinquished by ' f cl V� Cd7 '] /"� jA Note All special requests(e g quick <br /> Received b vCL rm ; fZ�CC� lD�� 4y � turn times)must to cleared through <br /> authorized laboratory personnel <br /> LLL�Relinquishe <br /> Recerved by <br /> Vlehnqurshed by `�,�� RESULTS DUE <br /> Received by GOOD OONDlTIOf� C e e eAkrf VERBAL [ WRITTEN <br /> hLPJJbVAUL <br /> TABSENCONTAINERS ✓ 6-A -104fie A t'(S -V- <br />
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