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FIELD DOCUMENTS_FILE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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S
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SEVENTH
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15615
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3500 - Local Oversight Program
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PR0545683
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FIELD DOCUMENTS_FILE 1
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Last modified
5/20/2020 3:16:14 PM
Creation date
5/20/2020 3:02:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0545683
PE
3528
FACILITY_ID
FA0005408
FACILITY_NAME
LANGSTON ARCO*
STREET_NUMBER
15615
Direction
E
STREET_NAME
SEVENTH
STREET_TYPE
ST
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
15615 E SEVENTH ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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yy, <br /> I' <br /> N � WHF Environmental Consultants, Inc. <br /> d <br /> 1 Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD <br /> Modesto, CA 95355-6729 <br /> (204) 579-8138 <br /> PPDECT NAGEi <br /> 045T7+y g �gl.A1Y-k+b0� {{tfi, . <br /> .41 <br /> C <br /> S 5 ( 'gnatur ) ° ��' t/Number 4S�° <br /> of <br /> REMARKS <br /> Station Can. !) <br /> Number Date lime Station Location l/ Ruv� <br /> tainers <br /> } <br /> N <br /> LL7 <br /> F <br /> r <br /> un <br /> m <br /> U <br /> Z <br /> 1 1 <br /> LL <br /> Relinquished by(signature): Date / Time Received by (signature): Relinquished by(signature)4 Date / Time Received by (signature): <br /> Company or Agency: Company or Agancy: Company or Agency: Company or Agency: <br /> N � <br /> CD . !i <br /> La 1 e i ed s1 ature): ate r Time red b n tNre): in qui ee _byt � � Date I Time Received by (signature): <br /> Ln <br /> of ) vJ4 ��! �S r C� x' YC Company 9 <br /> Com ny ge cy: Lamp gency; n r Agency: '�7/� Com or Agency: <br /> j <br /> N Relineuished by(signature): Date 1 Tine Received for laboratory by: Date Time Remarks/Shipping Information <br /> 6 Company or Agency: <br /> w 9, <br /> } <br />
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