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ARCHIVED REPORTS XR0006975
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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103
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3500 - Local Oversight Program
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PR0544638
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ARCHIVED REPORTS XR0006975
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Entry Properties
Last modified
7/9/2019 3:24:16 PM
Creation date
7/9/2019 2:18:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006975
RECORD_ID
PR0544638
PE
3528
FACILITY_ID
FA0004027
FACILITY_NAME
HENDRIX FORK LIFT INC
STREET_NUMBER
103
Direction
N
STREET_NAME
E
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15318001
CURRENT_STATUS
02
SITE_LOCATION
103 N E ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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.+�*.++ +w-P wtasaa,avu rram vvniun a;d e: <br /> Na i S �1��� Alpha Analytical, Inc <br /> A2_ CA� NV_ WA <br /> 255 Glend enue Suite 21 <br /> Address 33 u h •<Y- t 1D OR OTHER P of r <br /> Sparks, Ne*88431-5778 <br /> City State Zip _ .�_ _ Phone (775)355-1044 <br /> Phone taumberc»'��G�7G' ,1701 Fax C_1076f Z" 7z Fax (775)355-0406 Analyses Required 0 ti <br /> Client Name J'VPQ # Jah# <br /> Required QC Level <br /> Address EMail Address �'� <br /> City State Zil �C�f t'_ Phone# Fax# U n l �l H! IV <br /> J 1 T�'`�L ' � EDD/EDF?YES_ ua <br /> Time Date Matrx Office Sampled nye; I/ ReportAnem c Total and type of �3 '`f <br /> Sampled Sampled Seeley y C� � el'`1� contairets �(} Global ID <br /> 6efaw Lab ID NumberSample Description TAT F,Fe� "See below REMARKS <br /> le, -(y <br /> .4A.-Y <br /> Al ha 11rialy tics <br /> Receipt <br /> NO <br /> Fro eT, <br /> r <br /> UC'1 <br /> ADDITIONAL INSTRUCTIONS <br /> Signa Print Name <br /> Company Date Time <br /> Reli fished by u <br /> E�A al tl tk M <br /> Relinquished by <br /> Received by _ <br /> Relinquished by <br /> Received by <br /> 'Kev AQ-Aqueaus SO-Sod WA-Waste OT-Other "' L Liter V-Voa S-Soil,far 0 Orbo T Tedlar B-Brass P-Piastic OT-Other <br /> NOTE Samples a7e discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense The report for the analysis <br /> of the above samofes is applicable only to those samples received by the laboratory with this coc The liability of the laboratory is limited to the amount paid for the report <br />
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