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ARCHIVED REPORTS XR0010690
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 XR0010690
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Entry Properties
Last modified
3/5/2019 12:24:42 PM
Creation date
3/5/2019 10:47:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010690
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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*HAIN OF CUSTODY RECORD Bill To <br /> � T <br /> ,l 1, Sherwood POBox 93 <br /> ' der Avenue EL <br /> U Hilmar, California 95324 <br /> Labs (209) 667-5258 <br /> C O -R P O R A T I D N FAX (209) 667-2581 Attention t' L I. Phone _ f Page Of <br /> Job Number PO # Project Name <br /> 7 <br /> f' 1? rLl�Q <br /> Sample (Signatur Site Address C7� 4j <br /> 7 9to e Qv gry0 �, �� epq3 50.100 ^ <br /> NUMBER TYPE Ar <br /> O <br /> SAMPLE LOCATION DATE TIME SAMPLE cRAB OR <, ,r\ <br /> (IDENTIFICATION) (MTHIDAYNR) (HOUR/MIN) CONTAINERS COF O POST E) MATRIX ^1 REMARKS <br /> 11: 7 ✓ . � <br /> lay a/ <br /> l: y / <br /> Cw>M v aoy i <br /> I <br /> i <br /> Relinquished By (SE,ne) DateMme Received By (Signature) Date/Time <br /> TURNAROUND TIME <br /> I0,75am <br /> mquished By (Signature) 11ata4me RlVceived By (Signature) rky bate/Tinre 24 HOUR ❑ <br /> //9 T " in If .3 Ig48 HOUR ❑ <br /> %linquishad By (Signature) Date/Time Received y (Signature) DatelTime 5 DAY U— <br /> I L <br /> DISTRIBUTION Original-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br /> 1 <br /> I I I <br />
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