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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0544294
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Last modified
3/29/2019 4:19:35 PM
Creation date
3/29/2019 4:03:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544294
PE
3528
FACILITY_ID
FA0007044
FACILITY_NAME
SAFEWAY MEAT PROCESSING PLANT
STREET_NUMBER
1111
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
16326007
CURRENT_STATUS
02
SITE_LOCATION
1111 NAVY DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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CHAIN OF CUSTODY AND SAMPLE IDENTIFICATION RECORD <br /> ERM-West 2001 P Street., Suite 200, Sacramento, CA, 95814-5213, (916) 444-9378 <br /> client: Date: _ 2 / -�g 2_ Pae: <br /> receiving laboratory: <br /> �C_A--- 9 of. <br /> _�* <br /> Weather. �o°�= �a� �- <br /> No. of containers (this page only): <br /> Sampler(s): pmt C, ., CISH 4- <br /> Signature(s): <br /> ERM•WestJobNo. <br /> Sample Time Sample type Containers Preservative Ice Sampling Analyses <br /> ID (soil/water) — -------- (Y/N' Method <br /> (grab/comp) No. Volume Type <br /> i�il — 13c� l> �. � —I I — SS / �_ T, S6 S n� - ?4 -L`�� <br /> - -- -----Z----L <br /> ---- <br /> MIJ-S ( 33o I I AwL,kG.�.ss <br /> r>1 i�_5 133b 2 404 <br /> Val <br /> — -- _ --_ — <br /> 1430 <br /> `l �1 Col t P^ � \7 <br /> Comments: Custody Record <br /> Signature/Date/Time <br /> < Rei tnqul shed <br /> — �--LV_ -- ------------------- O� �a <br /> Received 2 �� <br /> --------------------------------- -- <br /> Relinquished Lam. <br /> --------------------- --- — <br /> Received1. � <br />
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