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ARCHIVED REPORTS XR0000864
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CALIFORNIA
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2315
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3500 - Local Oversight Program
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PR0544152
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ARCHIVED REPORTS XR0000864
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Entry Properties
Last modified
2/14/2019 7:59:30 PM
Creation date
2/14/2019 4:48:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000864
RECORD_ID
PR0544152
PE
3528
FACILITY_ID
FA0004062
FACILITY_NAME
VOGUE CLEANERS
STREET_NUMBER
2315
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12538016
CURRENT_STATUS
02
SITE_LOCATION
2315 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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TRAIN OF CUSTODY RECORD Bill To SHERWOOD LABS <br /> P O BOX 937 <br /> Sherwood 8071 N Lander Avenue HILMAR, CA 95324 <br /> [all <br /> PO Box 937 <br /> Labs <br /> Hilmar, California 95324 <br /> (209) 667-5258 Attention Phone <br /> CORPORA T / ON FAX (209) 667-2581 STEPHANI ROSSOW 209-667-5258 Page of <br /> Job Number PO # Protect Narge/ <br /> 11jJ AeC <br /> Samplers (Signature) Site Address <br /> zPv � <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE <br /> (IDENTIFICATION) (MTH/DAYNR (HOUR/MIN) OF (GRAB OR <br /> SAMPLE" <br /> CONTAINERS COMPOSITE) MATRIX <br /> REMARKS <br /> MW14-b 0' <br /> 03 <br /> ' - I oq <br /> TF- <br /> ` c <br /> vCd f�irrr�Q <br /> Y c� <br /> Relinquished By (Signature) Datef ime Received By (Signature) Daterrime <br /> TURNAROUND TIME <br /> D 4f 0130 <br /> 0 <br /> Relinquishe BY (Signature) DatelTrme Received By (Signature) Dale/Time 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) Date rime d By (Si u ) Date me <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days Aiter reSUIIS ere reported unless other ariertgements are made <br />
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