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ARCHIVED REPORTS XR0000218
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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B
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B
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1603
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3500 - Local Oversight Program
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PR0543430
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ARCHIVED REPORTS XR0000218
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Entry Properties
Last modified
2/5/2019 11:28:20 AM
Creation date
2/5/2019 11:01:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000218
RECORD_ID
PR0543430
PE
3528
FACILITY_ID
FA0009377
FACILITY_NAME
CAL TRANS MAINT SHOP 10
STREET_NUMBER
1603
Direction
S
STREET_NAME
B
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16918002
CURRENT_STATUS
02
SITE_LOCATION
1603 S B ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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,Zym" CHAIN of CUSTODY m <br /> n <br /> r 71 Baca Lana Son Luis Obispo CA 93401 W803.344.4696 fan 005.544.18226 <br /> reportto„ phone fax <br /> Turnaround Time <br /> ` 5� ��M� �11i� �SZ �j 1�2. ANALYSIS aEQVESfED � <br /> company <br /> project <br /> _ ASW©40 hr© Q <br /> JC �1 <br /> a ie g ..t �yc 17u r Ic Wil ►-Iu0 t S - — 0 1xh*��x�© ao <br /> S S., .. <br /> (( ( ( ` ��, sampler <br /> A � �O `� 24t, cW <br /> 13/ <br /> * .J <br /> fk�ih h <br /> w n 4'f{? <br /> +v SAMPLE DESCRUrno 7 Data Sampled Tuna Wlaorua Pra&arvo l2emarlrs <br /> 5 i i..,k� <br /> t/ Cn� <br /> n <br /> {{�J Q <br /> w <br /> 5 ` <br /> n � � <br /> Comments _ Relinquished by: Received by: <br /> TOC S t n{ St At\ 1�,C. 1 �11�� � Signature OK Signature <br /> Print Wrs _. .r4ti.� ti� Pnnt <br /> Company Company <br /> L� 1oPev r'1Q6 Date t��1��n .".., Tine l`��x� Cate Time <br /> Sample integrity upon recempr. Bill 3rd Party, Relinquished by: Received by X aX a vlrotechnology Ina <br /> Samples received intact Signature Signature <br /> Samples received cold Print Pnnt <br /> Custody seals Company Company V <br /> Correct container types RO# Date Time Date I - J 9- DI Time g-1 4 ' <br /> Quote yes no ' <br /> 41 <br /> 'erhail:xymaxozymaxusa.com <br />
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