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CO0042547
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0042547
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Entry Properties
Last modified
5/22/2019 12:13:48 PM
Creation date
1/30/2019 4:24:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0042547
PE
2546
STREET_NUMBER
809
Direction
S
STREET_NAME
AURORA
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14731002
ENTERED_DATE
11/14/2016 12:00:00 AM
SITE_LOCATION
809 S AURORA ST
RECEIVED_DATE
11/14/2016 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\A\AURORA\809\CO0042547.PDF
Tags
EHD - Public
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\ ��1uo Y <br /> CASTLE ANALYTICAL LABORATORY _ V11 CHAIN OF CUSTODY <br /> Certificate OF <br /> Location: 2333 Shuttle Drive, Bldg 9001909, Atwater,CA 95301 No.240PAGE <br /> Mailing Address:2333 Shuttle Drive,Atwater,CA 95301 <br /> Phone: 209 364-2930 - Fax: 209 304-1507 Method of Shi me <br /> 3 REQUESTED ANALYSES P <br /> Customer. GA <br /> ddress. �1t�\� W LL W <br /> .5-�� 19 x m w m mz Notes: <br /> Ci /State/ZIP: <br /> �l4 C)I <br /> z� ly <br /> PhonelFAX: W o <br /> Pro'#/PO#/Global ID: <br /> f o a w m o m o m <br /> Re ort Attention: S`S5 § m w n u m <br /> c F R Y W a C j <br /> Sam ler Si nature: _ <br /> Sam ler Printed: a ~ o u <br /> OBSERVATIONSIREMARKS <br /> Lab IDM SAMPLE ID DATE TIME DESCRIPTION/LOCATION <br /> 11.111 IrW ( <br /> 1 o co <br /> num r n mets <br /> Printed Name Date Time Com an Name submlaedWthe laborWY <br /> Si nature <br /> 1\ urn Around Time: <br /> J� P.lo L <br /> Reli uished b ') 24 Hour <br /> Received by: � 48 HDUf <br /> 0 <br /> Relinquished by: 3 Day O <br /> Received by: 5 Day (Normal) 0 <br /> elin uished by: S eClel: <br /> eceived by: <br />
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