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ARCHIVED REPORTS_XR0011290
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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FREMONT
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1401
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3500 - Local Oversight Program
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PR0545145
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ARCHIVED REPORTS_XR0011290
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Entry Properties
Last modified
1/9/2020 11:34:56 AM
Creation date
1/9/2020 10:49:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011290
RECORD_ID
PR0545145
PE
3528
FACILITY_ID
FA0003820
FACILITY_NAME
VALLEY WHOLESALE DRUG
STREET_NUMBER
1401
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13525031
CURRENT_STATUS
02
SITE_LOCATION
1401 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
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EHD - Public
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m m m m m m m M M = = M M M M <br /> HAIN OF CUSTODY RECORD Bill SHERWOOD LABS <br /> P.O. BOX 937 <br /> Sherwood 8071 N. Lander Avenue HILMAR, CA 95324 <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> abs (209) 667-5258 Attention:VICKI HUBIS Phone:209-667$258 Pae Of <br /> O O R P O R A T I O N FAX (209) 667-2581 9 <br /> Joh Number P.O.# Project Name <br /> VALLEY WHOLESALE DRTIG <br /> Samplers: (Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE Q� <br /> (IDENTIFICATION) (MTHIOAY(YRHOUR/MIN) OF (GRAB OR <br /> yl ) ( CONTAINERS COMPOSITE) MATRIX REMARKS <br /> MW-1 5-19-03 1 309 2rab water <br /> 15-1 ✓ ✓ Preserved with TSP <br /> MW-2 1215 <br /> MW-3 1240 r ✓ <br /> tu% MW-4 1140 ✓ <br /> 1 Sl <br /> MW--5 1131 ✓ / <br /> 151 <br /> MW-6 ✓ , ✓ <br /> 7v� MW-7 ✓ / <br /> 3V MW--8 0952 ✓ ✓ / <br /> w MW-9 1037 ✓ ✓ / <br /> :Jvj MW-101 1330 ✓ ✓ �/ <br /> i <br /> Relinqui hed By:(Signature Datefrime � Received By:(Signature) Date/Time <br /> TURNAROUND TIME <br /> Relinquished By:(Signature) DateMme f yceiv d By:(Signaturee))�[ temT ne 24 HOUR <br /> G 3 4$ HOU D <br /> elinquished By:(Signature Daternme eceived By:(Signature) DaterT e <br /> AY J <br /> DISTRIBUTION: Criminal-Accompanies Shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />
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