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ARCHIVED REPORTS XR0010714
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 XR0010714
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Entry Properties
Last modified
3/5/2019 1:42:08 PM
Creation date
3/5/2019 10:55:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010714
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
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WNg
Tags
EHD - Public
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04AIN OF CUSTODY RECORD i"To SHERWOOD LABS1p <br /> s } <br /> °v P 0 BOX 937 „f,F :u <br /> ' 8071 N Lander Avenue #}� <br /> «� Sherwood HILMAR, CA 95324 ;: <br /> P O Box 937 . p) <br /> Hilmar, California 95324 <br /> Labs <br /> yid (209) 667-5258 Attention Phone <br />` ; CORPORA T / ON FAX (209) 667-2581 VICKI HUBIS 209-667-5258 Page of <br /> j�4m, a .. <br /> r4z r d <br /> Project NameJoh Number ' <br /> _ <br /> DARPETRO #B <br /> Samplers (Signature) Site Address Z1, <br /> l <br /> 743 CHARTER WAY <br /> S � SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> OF {GRAB ORl <br /> (IDENTIFICATION) (MTHIDAYNR) (HOURIMIN) <br /> CONTAINERS COMPOSITE) MATRIX REMARKS ! <br /> l C L t [ Z'3i y,k S <br /> r <br /> a <br /> fi <br /> Ya i <br /> t n 7 <br /> 4 1 Ll l n - , <br /> l) - I o <br /> J I <br /> E 1 � , <br /> rtin 1�� L to r <br />>, 3 <br /> 1� <br /> Rehnq shed By (Signature) DateMme �, Received By (Signature) Datelrme ! r <br /> TURNAROUND TIME <br /> Relinqu fished By (Signature) Date>Tme rn�� eceiv By ( ture) Datelrime _ 24 HOUR ❑ <br /> r r <br /> YVk' � ���,�, 7 P r ,�� ' 48 HOUR ❑ l <br /> M '1 Rg inqutshed By (Signature) �` D term R ived By (Signature) Date�ma 1 ' ' DAY ❑ <br /> t 1 ; r' yh,l k <br /> 5 4 l <br /> ~ DISTRIBUTION Original-Accompanies Shipment Canary Copv Sherwood Pink Copy Sampter,,,yr S NOTE Samples are discarded 30 days after results are reported unless other arrangements are made 4. <br />
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