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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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THORNTON
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14749
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2900 - Site Mitigation Program
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PR0507155
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Last modified
5/8/2020 9:54:48 AM
Creation date
5/8/2020 9:43:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0507155
PE
2950
FACILITY_ID
FA0007718
FACILITY_NAME
3 B'S TRUCK PLAZA
STREET_NUMBER
14749
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05515026
CURRENT_STATUS
02
SITE_LOCATION
14749 N THORNTON RD
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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CASTLE ANALYTICAL LABORATORY MOOR CHAIN OF CUSTODY <br /> Location: 2333 Shuttle Drive, Bldg 9091909, Atwater, CA 95301 Certificate No, 2079 <br /> Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301 PAGE i OF� <br /> Phone: 1209) 3942930 - Fax: {2091 3941507 <br /> Customer: Q ccov n o'-w4yo REOUEfi 'ANALYSES Method of Shipment' <br /> Address: llGY2SA1prtA L!' /S41,7 J1 IZI j <br /> ew <br /> CItY/StateJZIP: C�w�' <br /> g _ q Notes: rJ <br /> Phone / FAX: <br /> Proj N i P.O. M: Th <br /> Report Attention: -T;�,+, Q <br /> Sampler Signature: <br /> Printed: <br /> SAMPLE ID DATE TIME OESCRPTIONfLOCATION .li.;....� Vfill.AMS <br /> e !TN �- L 1KKK V VViiV// <br /> W3 � <br /> N-L-4 3' 0 X <br /> fry- <br /> 01184 7( " <br /> �qgs _, <br /> "` x ..;' - - - Toto rwnter Mraeamrs worm b <br /> The _ . Company Name maletonmry <br /> inqulshed by: L / y %� Note:All special requests(e.g,quick <br /> Racefvad try• N.�rGGA y Cyt �. tum tlmes)must be cleared through <br /> tuthorized laboratory personnel. <br /> RaSrquishad <br /> aceived by: <br /> linquished by: OrHER RESULTS DUE <br /> eceived by: VERBAL VmrTTEN <br /> HEAD SPACE AOSENT_.v/ CONIAINERS,.,e- <br />
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