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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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SJGOV\wng
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EHD - Public
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�. ,I• � � � � � � i• � � � � � � tl� �� w�lrr <br /> CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Marling Address 2333 Shuttle Drive, Atwater, CA 95301 PAGE -;�— OF <br /> Phone (209) 384-2930 - Fax (209) 384-1507 <br /> Customer m 1 u�T1� h t Method of Shipment <br /> Address S f.YVz <br /> City/State/ZIP C ? Nates = : It <br /> Phone I FAX 7 11—!( . 9 1 '2 cun, Qr� <br /> Proj # IPO # - wes � � g a s a 0 <br /> Report Attention w g a a s ii I a <br /> Sampler Signature <br /> m <br /> Printed °° <br /> z <br /> tabs 1D# k SAMPLE ID /D�ATTEy� TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br /> �� 13 40W <br /> i <br /> 40288 <br /> __ <br /> ------------------- <br /> I F <br /> Total number of containers submitted to <br /> Signature Printed dame mate Tiina' Ciimp',any Name - - the laboratory <br /> Relinquished by , 6C1 ( s Note All special requests(e g quick <br /> (' tum times)must be cleared through <br /> Received by <br /> Relinquished by "'741tj]n� r authorizedlaboratorypersonnel <br /> �1 <br /> k <br /> Received by - <br /> Relmquished by rn _7 i RESULTS DUE <br /> Received by <br /> +- - y 17 r,ti,J VERBAL. WRITTEN <br /> -"""" <br />
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