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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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M M � � � w <br /> �4 <br /> iF WHF Environmentalnsultants Inc <br /> Co , <br /> Post Office Boy, 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAME <br /> 5 igna ure} Number <br /> REMARKS <br /> of f <br /> Station / <br /> Number Date Time o Station Location Con- <br /> tainers <br /> 00, <br /> L11 Ix L-7SF <br /> Relinquished Dy(signature) Date / Time Received by (signature) Relinquished by(signature) Date / Time Received by (signature) <br /> Company or Agency Company or Agency: Company or Agency Company or Agency. <br /> ei s by(signature) Da / Time Receiv �stpnature). Rel i uis d Date I Time Received by (signature) <br /> C any e cy �� ompany or ncy Company or gency Company or Agency <br /> �1 GcJ Cc-.( <br /> Ae1�r�quizhed by(signature) Date / Time Received for Laboratory by pate / Time Remarks/Shipping Information <br /> Company or Agency (signature) t33 o <br /> llux) <br />
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