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ARCHIVED REPORTS_XR0005432
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_XR0005432
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Entry Properties
Last modified
5/5/2020 2:54:09 PM
Creation date
5/5/2020 1:34:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005432
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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I• � >r� � li• l• l� � � i• � � t• � t• � I• l• 1• <br /> CAS* ANALYTICAL LABORATORY CHAIN of CUDDY <br /> Q Location Castle Air Part-, Bldra 903, Alvovater, CA 953'01 Cerlitrcate 130 1079 <br /> LL Vailrricg Address P O Box 1363, Vr(nton, CA 95388 PA6l: _/ (-)F_/ <br /> Fhone 1209) 364 2930 - Fax ,',)09t 384-1507 <br /> Customer - c ! tr1 ti I IIV 'r RLOUI STU') ANALY`,ES IMctliod of Shipment <br /> Address j 07 ` rtar- I7-- <br /> CltylStateJZIP m rc L w r 7�} <br /> Notts <br /> Phone ; FAX �-� r ( y d <br /> ' ^� 4L�"-�% < � OG+ Sfa-tom 0C3 w g � g � � �• z <br /> Projw <br /> iD Report Attention r LL v a s o 1 <br />-� Sampler Signaturea E N o m ~ u <br />'11 Printed [p <br />'�- z <br />{I Lab IDY SAMPLE ID DA FE rim[ DESCRIPTION/LOCATION OESERVA11ONS.RI:idARKS <br /> Ir r <br /> Vt,v <br /> w <br /> w <br /> LL <br /> u <br /> w <br /> I <br /> r. <br /> Tol@J t upbor of Cbntamers subnYttr d+o <br /> Signature Printed Name Efate Time Company damn thr,Iaboraloil <br /> 3 r _ y� NoleL All sNcJal requests(e t) quia; <br /> F,elanq�arshed b,t 4 - iL(.r l �L-C f�� �� � C � �� �,+"•��'" `�� - �7v >' I-r'� <br /> tum+mss)must be deared through <br /> `R Ger+Cd by I ,f {I F//� ��i r•!�l i?-•', - .i �Y S„ Rt' .c.�r ^ _. _. ;wthonzed laboratory personnel <br /> f � <br /> Rclrnqurshed b-y.� f/ <br /> Recctved by I�', ;c 7/_�aZ L, <br /> FkPiclurshed b,, RESULTS DUE <br /> Fe-cerved by — y'-"13"1 lyt ra�Ert <br /> r <br /> ' l � <br />
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