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ARCHIVED REPORTS_XR0011316
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_XR0011316
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Entry Properties
Last modified
1/9/2020 11:26:45 AM
Creation date
1/9/2020 11:14:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011316
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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EHD - Public
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fHAIN OF CUSTODY RECORD Burro: SHERWOOD LABS <br /> PO, BOX 937 =_ <br /> Sherwood 8071 N. Lander Avenue HILMAR, CA 95324 ' <br /> P.O. Bax 937 <br /> Hilmar, Calitom+a 95324 <br /> Labs (209) 667-5258Attention: Pnone: <br /> C O R P O R A T r O N FAX (209) 667-2581 VICKI HLIBIS 209-667-5258 Page of <br /> Jab Numbet P.O.Itra <br /> Nameole—SLLJ g, <br /> SanVla {Signature) Site AcOress I �y <br /> -SAMPLE LOCATION DATE TIME NUMBER TYPE O <br /> UFiMOF RAS <br /> SAMPLE P <br /> (IDENTWICNTION) (WTHMAvNM (HOMIN) 0ONTAAWERS COMPSM) !MATRIX � REMARKS <br /> ](.c ✓ vo6 <br /> i <br /> Q <br /> a <br /> 'shed By.(Signature Daee(Thne Rec By:(Sigmturo) DateMme <br /> -0 RENAROUNO TIME <br /> aat d By:(Sigrwum) DaWrime R d By:(SiQni� re) Dai r 24 HOUR O <br /> Yf LJ' o/ 6 13 Ls 48 HOUR ❑ ti <br /> sy:(Signature!) IVd (sipna e) oaterrme 5 DAY ❑ <br /> DIBTnsul oN: prionei-Accompanies Shipment Canary C 4pV:Shemood Pink Copy:8amplet NOTE:Samples are discarded 30 days after results are reported unless outer arrangements afe made. <br />
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