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ARCHIVED REPORTS_XR0002868
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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3555
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3500 - Local Oversight Program
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PR0545252
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ARCHIVED REPORTS_XR0002868
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Entry Properties
Last modified
1/31/2020 2:46:08 PM
Creation date
1/31/2020 12:13:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002868
RECORD_ID
PR0545252
PE
3528
FACILITY_ID
FA0002232
FACILITY_NAME
QUIK STOP MARKET #3132*
STREET_NUMBER
3555
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
071-180-20
CURRENT_STATUS
02
SITE_LOCATION
3555 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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c <br /> Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue, Suite E• Sunnyvale, CA 94086.Telephone (408) 735-1550(800)287-1799•Fax (408) 735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Client 1�z Project ID ('�L&' D5 no'-zk LAB USE ONLY <br /> Address 35 ter-5 LLQ t„ mu LAP-f, Purchase Order 9 <br /> 4 .C4 Sampler/Company Telephone # <br /> � � Samples arrived chilled and intact <br /> Contact 3[ �-k L_ = v— a NJ SAC 4 A-pe_ 4(�3 --53 3 0 <br /> Yes No <br /> Telephone # S ectal Instruction Comments <br /> p S�� !,�(,x7- S d 2 "�-J 6^1 y Nates (ct►4cz J w lee=eta ct�ta <br /> Date Received -riA NU t, Jl i., Let► <br /> Turn Around —_ .f���.. cL• _ � ' Is�p�vp�L c:r v-2 <br /> 6 T"tl YL Ttf-Tl Ap S ofL F; cr 12-r/A 9- A &1!11—ki�{1" >r. <br /> Sample Information k,1 Requested Ana! sis <br /> Crab/ Date Time Sample \•+ <br /> Lab# Sam le ID Composite Matrix Collected Collected 'Peres I Container <br /> aw J11w- (arm oj'u 3 �o �$ t3 z5 tcC 5 <br /> Relmq B} Received B} <br /> 7-7LIA--%) Datti Tune 1 �� 10 <br /> ROM] 131 RCU.Ived By Date 1 une <br /> Relmq/B% Received 13', Date Time <br />
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