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ARCHIVED REPORTS_XR0007286
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILSON
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2211
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3500 - Local Oversight Program
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PR0545106
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ARCHIVED REPORTS_XR0007286
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Entry Properties
Last modified
12/19/2019 4:21:20 PM
Creation date
12/19/2019 4:04:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007286
RECORD_ID
PR0545106
PE
3529
FACILITY_ID
FA0003694
FACILITY_NAME
RIVER CITY PETROLEUM CARDLOCK
STREET_NUMBER
2211
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11707050
CURRENT_STATUS
02
SITE_LOCATION
2211 N WILSON WAY
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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CAIN OF CUSTODY RECORD Bill To SHERWOOD LABS 41 <br /> P O SOX 937 <br /> Sherwood 8071 N Lander Avenue HILMAR, CA 95324 <br /> P O Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention one Ph <br /> C O R P O R A T I O N FAX (209) 667-2581 VICKI HUB1S 2Q9-667-5258 Page of f <br /> Job Number PO # Protect Name �7 <br /> CONNELL MOTORS � <br /> Samplers (Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE =�v <br /> (IDENTIFICATION) (MTHIDAYIYR) (HOIJRIMIN) OF (GRAB OR MATRIX <br /> CONTAINERS COMPOSITE) REMARKS <br /> MW--1 3w-26-03 1528 2 qrab water 7C X X, <br /> MW-31324 <br /> MW-4S 1410 <br /> MW-5D 3217 <br /> ? 105 <br /> MW-6Q 1140 <br /> MW-75 <br /> MW-7D 102r; I <br /> MW-83 0930 <br /> MW-8Q <br /> D <br /> MW-9S <br /> MVS-9D <br /> Rehnq shed By (Signature) DateMme Received By (Signature) Date/Time TURNAROUND TIME <br /> Rehi4quished By (bignature) DateMme Received By (Signature) DateMme 24 HOUR ❑ <br /> (� 48 HOUR ❑ <br /> Relinquished By (Signature) DateMme Received By (Signature) Date/Time rJ DAY r <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days atter results are reported unless other arrangements are made <br />
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