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ARCHIVED REPORTS XR0001344
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CENTER
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1201
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3500 - Local Oversight Program
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PR0544188
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ARCHIVED REPORTS XR0001344
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Entry Properties
Last modified
2/27/2019 1:36:34 PM
Creation date
2/27/2019 11:42:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001344
RECORD_ID
PR0544188
PE
3526
FACILITY_ID
FA0006698
FACILITY_NAME
FERNANDOS PLACE
STREET_NUMBER
1201
Direction
S
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95209
APN
14716003
CURRENT_STATUS
02
SITE_LOCATION
1201 S CENTER ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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n `YLx V. ✓� � ry rr_ . - - - t � ' y -� � � k � �� Yrw ir'lJ 7+ s 4_{ nit. e`Yw"•r x i♦ �r.+r V��ti' �.._ ..✓1v �, b`rT F� � �.y, `k."R .} .�✓ - � <br /> CHAIN OF CUSTODY RECORD Bill To <br /> l <br /> Sherwood 8071 N,Lander Avenue - <br /> P O Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone Pa9� �of <br /> COP PORA TION FAX (209) 667-2581 <br /> Job mber / PQ R Protect Name <br /> a (Si urqV Site Address <br /> NO <br /> SAMPLE DATE TIME SAMPLE SAMPLE INFORMATION OF Pr/ REMARKS <br /> NUMBER TYPE CNTRS <br /> 10 <br /> Y <br /> Relinqui ed Byr(Sign)to ) Date ame q / Rocerved B (S nature) Datefrim p Ship Via <br /> �of nquisheb By (Sig ture) `—' Da1e/Ti e f erved By Signature) v Dai7; <br /> Qe <br /> ,� / �j ����L- � S�t4 l� �Y�'( -I &Szu TURNAROUND TIME <br /> i(13elinquishecl By (Signatu ate�me Recerve4 By Laboratory Datefrime ❑24-HR ❑48-HR ❑5-DAY ❑ 10-DAY <br /> DISTRIBUTION Onginal Accompanies Shipment Canary Copy Sherwood Pink Sampler NOTE Samples are discarded 30 days atter results are reported unless other arrangements are made <br /> � i <br />
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