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ARCHIVED REPORTS_XR0009798
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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ARCHIVED REPORTS_XR0009798
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Last modified
5/20/2020 4:08:59 PM
Creation date
5/20/2020 3:39:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009798
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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LSauers
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EHD - Public
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���..� �� � www• w�w� � � � � � i• i• � <br /> WHF Environmental Consultants, Inc <br /> Post Office Sox 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAME: `-�3'v`4 !'SdfCTr <br /> yt l <br /> SAMPLERS (s► nature) � Number Q <br /> f , REMARKS <br /> of <br /> station <br /> Humber Date Time a Station Location Con- <br /> tamers <br /> X <br /> w 0 <br /> Relin i h by sig a Date / Time ;2rnpatiny <br /> ved by (s nature) Relinquished by(signature) Date / Time Received by (signature) <br /> j� <br /> omp�r y 19�� 40 �or gency, Company or Agency Company or Agency <br /> Relinquished by(signature) Date / Time Received by (signature) Relinquished by Date / Time Received by (signature) <br /> Company or Agency Company or Agency Company or Agency Company or Agency. <br /> Relinquished by(signature) Date / Time Received for Laboratory by Date / Time Remarks/Shipping Information <br /> Company or Agency (signature) tXet k <br /> r �Ct ,' <br />
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