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ARCHIVED REPORTS_XR0010612
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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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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ARCHIVED REPORTS_XR0010612
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Entry Properties
Last modified
5/8/2020 11:17:47 AM
Creation date
5/8/2020 10:00:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010612
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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LSauers
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EHD - Public
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CASTLE ANALYTICAL LABORATORY � rcr� CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 PAGE-�2-0t <br /> Phone (209) 384-2930 - Fax (209} 384-1507 <br /> Customer �' G REQUESTED ANALYSES Metho ofShipment <br /> Address W C <br /> City/State/ZIP a co W <br /> Phone / FAX y Notes <br /> I <br /> Prol # IP0 # s ti a � g a m o v 0 <br /> Report Attention a x a o <br /> F- 1 Ix <br /> Sampler Signature- a s m oup <br /> Printed U n <br /> z <br /> Lab IDS SAMPLE ID DATE TIME DESCRIPTION/LOCATION OBSERVATIONSIREMARKS <br /> i <br /> 08603 ; <br /> - 08604 <br /> i <br /> ' - - 08605 } ; <br /> IMP nor_, <br /> 5 <br /> PRESS <br /> ` # ' APPRWIA1F <br /> LEI <br /> Total number of containers submitted to <br /> ure Printed Name Date Time Company Name the laboratory <br /> Relinquished by �� L Note All special requests(e g quick <br /> turn times)must be Geared through <br /> Received by , u. / T /j i Gti/� �' authorized laboratory personnel <br /> Relinquished by <br /> Received by <br /> Rabnquished by RESULTS DUE <br /> Received by VERBAL [- wRITTEN <br />
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