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ARCHIVED REPORTS XR0010915
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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EMBARCADERO
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6649
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3500 - Local Oversight Program
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PR0544727
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ARCHIVED REPORTS XR0010915
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Entry Properties
Last modified
8/1/2019 4:56:58 PM
Creation date
8/1/2019 4:22:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010915
RECORD_ID
PR0544727
PE
3528
FACILITY_ID
FA0003830
FACILITY_NAME
VILLAGE WEST MARINA
STREET_NUMBER
6649
STREET_NAME
EMBARCADERO
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09815006
CURRENT_STATUS
02
SITE_LOCATION
6649 EMBARCADERO DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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- <br /> L 't <br /> CHAIN OF CUSTODY RECORD Bill TO: ti. <br /> Sherwood 8071 N. Lander Avenue <br /> P.O. Box 937 <br /> ZZ 41 Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention: Phone: Pae of <br /> C O R P o A A T 1 O N FAX (209) 667-2581 <br /> 7 <br /> Job Number: Proj Name <br /> 0-33 C> (- 0-3 c l"1 e (JA 4 <br /> Samplers:(Signature) <br /> NO. <br /> SAMPLE DATE SAMPLE SAMPLE INFORMATION OF a REMARKS <br /> NUMBER TYPE CNTRS <br /> DA 4- 1 ter <br /> u)- <br /> Relinquish (SiguctftPe) DatelDpae Received By:(Signat re) DateTme Ship Via: <br /> �� <br /> r14efinquished 8y:(Sigroature) baterrime Raceived By:(SignaWre) DlteMme <br /> ? J TURNAROUND TIME: Date <br /> Relinquished By:(Signature) DateTme Received By:(Signature) DateTme <br /> ❑24-HR 05-Day ❑f0-Day <br /> DISTRIBUTION:Originai-Accompanies Shipment: Canary Copy-Sherwood Pink-Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />
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