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ARCHIVED REPORTS XR0010501
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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749
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3500 - Local Oversight Program
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PR0544218
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ARCHIVED REPORTS XR0010501
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Entry Properties
Last modified
3/5/2019 12:30:11 PM
Creation date
3/5/2019 10:23:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010501
RECORD_ID
PR0544218
PE
3526
FACILITY_ID
FA0003870
FACILITY_NAME
SRH FOOD & GAS
STREET_NUMBER
749
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734309
CURRENT_STATUS
02
SITE_LOCATION
749 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Dat a• 199 0. THE TWINING L.ABORATOFUE.% INC, rage of <br /> . 227 Fresno Street, Fresno, CA 93721 <br /> OR 238.7821 <br /> Chain-of-Custody and Analysis Request Record <br /> / HI <br /> Project Name: 'Y Pr�aJect No. io Project Manager: V\00'1 <br /> Sampler- Lnvti Cornpatty "[ :r�ti+� j<a. Amo. rAtphnrr _ Z -C9 s Del`By- !'t'!G! L vti w <br /> SEND ijiirPDRT TC: SAMPLING LOCATION -C Lt1N Circle One): UNIX. <br /> a <br /> Cornparry- f: 14y.ty C o T AMY- f` v �*OkSt o <br /> rasa _ 2 l aO JE ray tS C__L& -_ Address: 2jejo evt-teveYIX Blid, Routine :z <br /> f�12s� SacL .y+�t a�-6 . CJS Z <br /> {specl(Y Tirane: <br /> Contact Name W v, �4-fe_cpL_ S o l o m ein contact Name-, So� <br /> Phone !t 3 4 S Phone: � Z- r [4 S � <br /> COPIES TO: Oil <br /> l8 Request m <br /> Numbof N <br /> Lab' er Client Sample � - Sante DatefClme Containers' a'i <br /> ID 9 ID 0 �., Description Sampled Analysis Requested Per Sample ;I <br /> wi <br /> cri <br /> QUID co inu <br /> use ally <br /> ,cn <br /> 1.'�, fn a _._ �dY Gt — 2' 3. J � <br /> �mpishw By Afffiisbon atelrkne Received AfMation Datelrkme f kD <br /> d By Afflllation wafrnrre Received In Lab By Afrpiatlon Dator m <br /> - _ a 0 19 <br />
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