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ARCHIVED REPORTS_XR0005443
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_XR0005443
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Entry Properties
Last modified
5/5/2020 2:30:44 PM
Creation date
5/5/2020 1:39:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005443
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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CASTM ANA Y- h C <br /> TICAL LABORA0� GvHA�1 <br /> N OF CUST0 <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Marring Address 2333 Shuttle Drive, Atwater, CA 95301 `• PAGE__�_OF� <br /> Phone f209) 384-2930 - Fax (209) 384-1507 <br /> Customer c- REQUESTED ANALYSES Method of Shipment <br /> Address rN <br /> /State/zlp. _� v X W <br /> Cit <br /> Y S 9 F o a � � a Notes <br /> Phone ! FAX. _lO o " D W z <br /> Proj # / P O # , , " m (L m v <br /> F fl <br /> Report Attention w a o <br /> Sampler Signature a o a ~ ~ <br /> w <br /> -2U N <br /> Printed co - ' W <br /> z <br /> rY I <br /> Lob ID# SAMPLE ID DATE TIME DESCRIPTIONILOCATION � Na.9 2 5 4 fi KS <br /> t� L No. 92547 <br /> +a I E <br /> Y I' <br /> - -4No. _92549_ <br /> (t> <br /> ;- N0,92550 <br /> 5 <br /> No-_9 2 5 5Z <br /> I r <br /> TND-_92552 <br /> I _ Nn Q?553 <br /> it <br /> AW 1-MI ,,__No. 92554 <br /> I <br /> .� 1• !z-f 7-17-58 I <br /> I _ No. 92555 ' <br /> ✓ VW-I No.92556 <br /> } ?miffed to <br /> Signature Printed Name Date Time �+ Company Name <br /> Relinquished b l 'cJ l e k 4 N0.9 2 5 5 V r quick <br /> �,r NO-92558 ugh <br /> by 1s .l Q�l� � �` � u v `UG O. 1gog <br /> r <br /> Rehngtilshe by f Yw <br /> I N0.9 2 5 5 Q 3W` <br /> Received by <br /> Relinquished by WASIO&GIMETALSIOT No.9 2 5 6 0 6 <br /> Received byGOOD I+n _ L+ ` vice�ont •..F EN <br /> HEAD SPACE►t[Jvt-)'II ' �Ir;il+-f�v L° VU <br />
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