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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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LSauers
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EHD - Public
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WHF <br /> WHF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT !NAME: LS <br /> ��'��' •V, � <br /> h <br /> 41 <br />� S ignature a <br /> (lumber <br /> of <br /> Station CL <br /> Humber Date Time 0 Station Location Con» <br /> U ca tamers Y1.Js r( <br /> '2_ <br /> j <br /> y lc :33 ;il � ~ �- �Z-�y )d <br /> Relinquished b si nature)• Date / Time Received b (signature Relinquished by(signature) Hate / Time Received by (signature): <br /> y( 9 y }• q g ): <br /> Company or Agency: Company or Agency: Company or Agency. Company or Agency: <br /> Re sh y( nature). Date / Time R i n ure). Relinquished by. Date / Time Received by (signature) <br /> A envy « �S• 5 y or ncy Company or Agency- Company or Agency <br /> u� ed by{signature): DD to / Time Received for Laboratory by. Date / Time Remarks/Shipping information <br /> or gency: ' '� (signature) GU <br />
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