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WORK PLANS_FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAMMER
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3250
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3500 - Local Oversight Program
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PR0545251
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WORK PLANS_FILE 1
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Entry Properties
Last modified
1/31/2020 10:21:36 AM
Creation date
1/31/2020 8:45:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
FileName_PostFix
FILE 1
RECORD_ID
PR0545251
PE
3528
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
02
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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U 885 Jarvis Drive - Morgan Hill, CA 95037 - (408) 776-9600 • FAX (408) 782-6308 <br /> IDSEQUOIA ANALYTICAL ')4819 Striker Ave., Suite 8 - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-0100 <br /> U 404 N.Wiget Lane -Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> 1W CHAIN OF CUSTODY U 1455 McDowell Blvd. North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> U 1551 Industrial Road - San Carlos, CA 94070 - (650) 232-9600 FAX (650) 232-9612 <br /> Company Name: �.� Project Name:Mailing Address:Address. Billin Address if different <br /> City: , State: 0A. Zip Code: 9 <br /> Telephone: 0 FAX #: 9 b�55q ( P.O. #: v <br /> Report To: �� Sampler: QC Data: 'Level D (Standard) l7 Level C U Level B U Level A v <br /> il <br /> Turnaround X10315 Working Days U 3 Working Days U 2 -8 Hours U Drinking Water Analyses Requested � <br /> Time: U 7 Working Days U 2 Working Days U Waste Water <br /> U 5 Working Days U 24 Hours U Other Q1 <br /> Client Date/Time Matrix # of Cont. Sequoia's ,►YY <br /> Sample I.D. Sampled Desc. Cont. Type Sample # Comments <br /> 2.T`�P 1 -aCr <br /> U) <br /> 5. <br /> 6. <br /> 7. <br /> _T -- -- — -- —- --- --.. o <br /> a <br /> (D <br /> 8. --- <br /> a� <br /> 9. <br /> 10. <br /> Relinquished By: L � (�(h.f� ate: /�Q$ Time `r- Received By: --- Date: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: �— Date: ,- Time: Received By. — !� Date ��� Time- �t� _ <br />
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