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ARCHIVED REPORTS_XR0007742
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WILSON
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1250
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2900 - Site Mitigation Program
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PR0507153
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ARCHIVED REPORTS_XR0007742
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Entry Properties
Last modified
6/23/2020 1:57:01 PM
Creation date
6/23/2020 11:17:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007742
RECORD_ID
PR0507153
PE
2950
FACILITY_ID
FA0007717
FACILITY_NAME
THRIFTY OIL #171
STREET_NUMBER
1250
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11731001
CURRENT_STATUS
02
SITE_LOCATION
1250 N WILSON WAY
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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0 0 0 <br /> AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD <br /> 9765 ETON AVE, CHATSWQRTH, CA 91311 DATE <br /> �►+wrncs (818) 998-5547 (818) 998-5548 1-800-533-TEST 1-800-533-8378 FAX (818) 998-7250 PAGE- OF � <br /> AA Gent Sampler's ! r <br /> jtj� Phone Sa n �-N J <br /> i PGVI ? o 2 Name V-���� an v <br /> Project Manager ,,// --�} PO No Samplers <br /> �l'.X- 1G?A»o.f Si nature <br /> Protect Name Project No Project Managers <br /> Signature <br /> Job Name <br /> aSD A/, �1 �cR� S' 411 ANALYSIS REQUIRED <br /> and Detection <br /> Address tJrnits <br /> Test Regtirements <br /> Test <br /> A.A. Cllent s Nt <br /> Semple mbw Name <br /> LD 0 L Dmts Tk" of <br /> 7yQ0 Contshas 0 <br /> D <br /> 11lw -qoU — — —— <br /> . 12115- 1 <br /> M�3- <br /> 21 Ew - <br /> Nt - <br /> 1� <br /> 2 W -6d — — <br /> Tvy-c4,0 — — -- - <br /> - <br /> 19Cn �Wy_ i I — <br /> NAKFL= lPrr ORrryTo nX lILL1CD IN HT R11 MVING LAB Rby Dols p. 27ine Received b <br /> 9affoles Intact yes No <br /> Sang&" PropeAy Cooled Yes No ReklgA@hed by Dat* Tkm Recelved by <br /> samples Accepted yes No <br /> M Not Why' ROm AOwd by Date rine Received by- <br /> AA Project No 0/15�/7/_ / R°ti4Aa>ed by- Date Tkne Received btr <br /> DISTRIBUTICWk White - Laboratory. Canary - Laboratory, Pink - Account Executive, (Told - Cilent <br /> I <br />
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