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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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not <br /> F W14F Environmental Consultants, Inc <br /> Post Office Box 6729 ; <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAME: <br /> �- <br /> .;~ t <br /> SAMPLERS (signature) Humber <br /> �-' REHARKS <br /> of <br /> 'Station a o Con- N� <br /> Number Date Time L Station Location Cl 3q tamers <br /> X K <br /> u ca <br /> 2- �' DC sq --2, # <br /> A X1 <br /> C � P -� I <br /> Relinquished by(signature). Date J Time Received by (signature). Relinquished by(signature) Date / Time Received by (signature). <br /> I <br /> Company or Agency. Company or Agency: Company or Agency. Company or Agency. <br /> i ^ yyed i ure). Date / Time <br /> Re] Dat / Time Receir re) <br /> mayor ge NNS y. A� � Comp y ency.Oltnature): <br /> in ed u e) Date Jtime Received for Laboratory by Date J Time Remarks/Shipping Information I <br /> C r F n s (signature) � <br /> i <br />
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