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ARCHIVED REPORTS_XR0002936
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HAMMER
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3202
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3500 - Local Oversight Program
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PR0545250
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ARCHIVED REPORTS_XR0002936
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Entry Properties
Last modified
1/30/2020 7:25:51 PM
Creation date
1/30/2020 4:07:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002936
RECORD_ID
PR0545250
PE
3528
FACILITY_ID
FA0001817
FACILITY_NAME
7-ELEVEN INC #35355
STREET_NUMBER
3202
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95209
CURRENT_STATUS
02
SITE_LOCATION
3202 W Hammer Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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SEQUOIA ANALYTICAL SAMPLE RXC EIPT LUG <br /> CLIEW NAME. DA' L Received at Lab. 1 <br /> �� �'�� I}rmlung tivtttcr far <br /> HEC.13Y(PIUNT) TIME Received at Lab: _ �; zo regulator}purposes. YTruS <br /> WORKORDER, LOG IN DATE. rj�f cY NV;i #eiWer for <br /> rcgulataty pui pnses. YFSICO <br /> CIRCLE TIT If,APYROPld)TB,RESPONSE? LLB CONIA1NER -SAMPI,Y, UXrK KLMARKS: <br /> fiA14�N1;E# # CLIENT 711) DESUIl'TZUT1 MATRIX SAMPLED , • <br /> CONT)MON .7 Ge <br /> 1 Custody smt(c) Present 1 bsen VCSU L. 9-11--oz L<A-R aoaool 0 <br /> Iuta t#Aro ons � <br /> 2 Chain-of-Cvstacl Presc /Absent* <br /> 3 TniMr KWTmor <br /> Packing r zst: - Present) bscnl s - <br /> 4 Mi-bill. , Arrbill l Slicker <br /> r <br /> PrcSCnt Absell <br /> 5 Aitblu JV <br /> 5 Sate lel,ibels` I'rese tfAbsent <br /> 7 Sample TTla ist met T ig;cel f(OR Chain of Ciistod <br /> r R, Sample Condthov Into 1 Broken-I -� <br /> 9 Dass information on - <br /> custody reports,trsf('ic <br /> reports nud samplo <br /> labels a 7 Y No* <br /> 14 Sample received within - <br /> hold time <br /> 11,Proper Preservatives <br /> tisecl- Yes Igo" <br /> 12 Tomp Rcc at Lab. ' <br /> (Acceptanux range for samples <br /> requinng therntal pres.4-1-2°C} Ye. 1 ND** <br /> "lixec tion(iEan <br /> *If Circled Contact Project Manager and Wad) record of resolution. <br /> snmpls Receipt Log <br /> Revft 2 A . Page � Off— <br /> Re Rcvfsmn sion 2 1(11/1 OW) <br />
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