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ARCHIVED REPORTS XR0007976
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WEST
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3230
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3500 - Local Oversight Program
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PR0544759
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ARCHIVED REPORTS XR0007976
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Entry Properties
Last modified
8/19/2019 10:27:25 AM
Creation date
8/19/2019 10:24:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007976
RECORD_ID
PR0544759
PE
3528
FACILITY_ID
FA0004058
FACILITY_NAME
VANCO*
STREET_NUMBER
3230
Direction
N
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11708017
CURRENT_STATUS
02
SITE_LOCATION
3230 N WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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CASTLE ANALYTICAL LABORATORY �, <br /> a — L CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 90$1909, Atwater, CA 35301 <br /> Marling Address 2333 Shuttle Drive, Atwater, CA 95301 Certificate No 2073 <br /> Phone (209) 384 2930 - Fax (209) 384-1507 PAGE i OF "" <br /> Customer <br /> Address j W C "� `St$ µ Method of Shipment <br /> Phone / FAX P S G (�� a ��}- UVu'h <br /> Prod # / P 0 # �"" y ��T r �} ti <br /> �6'r7 <br /> Rho( a 40272 <br /> tel. i� W '-' W = W m <br /> Report Attention WW a Q a �; o <br /> r a rJ 0 y r <br /> Tj <br /> Sampler Signature � FF A 2 7 <br /> A a a F <br /> Printed 6 _ W <br /> leb�ll - SAMPLE ID DATE TIME DESCRIPTIONILOCATION x Z 40274 <br /> F <br /> °k o -W quo s 40275 f <br /> 40276 <br /> _ r <br /> 40277 <br /> y <br /> 40278 <br /> ° 40279 <br /> 40286 <br /> w s <br /> 40281 <br /> AILS— r 40282 <br /> �4 r,_ 4026 <br /> _ <br /> Si <br /> Relinquished by nature Printed Name Qate T(me Y Comoaoy Name 40284 i to <br /> n <br /> Received by - V ril le Note= <br /> Reirnqurshed by 40285 t <br /> 0 tum fi <br /> _ - A ! � <br /> ,, ,- <br /> r a7r+Ir7 ��n author <br /> Received by 1{�� 1A1 �'r r �=r� r� � a 40286 <br /> Relinquished by <br /> Received by ,i - i ti RESULTS DUE <br /> VERBAL WRITTEN <br />
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