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ARCHIVED REPORTS_XR0009801
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_XR0009801
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Last modified
5/20/2020 4:39:31 PM
Creation date
5/20/2020 3:39:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009801
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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WHF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95 _ <br /> (2 579-813$ <br /> PROJECT HAMS: t--��C3 ����S �� <br /> R Signatur ) : 9 <br /> Humber Vc�vb <br /> of REHARKS <br /> Station <br /> Number Date TimeStation Location ta�ners � <br /> l Y �7i3 lu�Q -* Y <br /> 3 CLQ <br /> "� <br /> a �t NIX <br /> ARequ shad y tgnature) Date / Time R -'(edby { ig atu`�). R uish d y sig ature)- Date / Time Recetved by (signature). <br /> ( �pe5 11 V!1r 1 ency O Camp y o Ag Compan r Agency r 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 /> (sign <br /> e �� <br /> Company or Agency /79'0 <br />
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