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ARCHIVED REPORTS_XR0002881
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_XR0002881
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Entry Properties
Last modified
1/31/2020 3:14:13 PM
Creation date
1/31/2020 12:27:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002881
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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r T_, 1� rr■I� r• I• M men <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 /> ATS ossa c Chain of Custody/Analysis Work Order <br /> QwIk-1-c P1- '1 <br /> Client: Q ui K ST°P /311 Project ID: &1.1>03 . 0 DOS LAB USE ONLY <br /> Address: Wl`5'T' qAHW4) X40, , Purchase Order k <br /> 5•0c.I -1`b (A Sampler/Company: Telephone #: Samples arrived chilled and intact: <br /> Contact: �r l•.i, (.r kr�� Yes No <br /> Special <br /> cAial�Instr�c-ttiotn C,oje,.nts� Notes:Tel�hone#: <br /> L. a�.Goho L, <br /> Date Received: t�,1 L}' $ D;p Dl1 50 Pro i-e tl l � <br /> A W-I b G"L <br /> Turn Around: DY1Jl — - c�M -�it�-y't A L f�T►? - <br /> Sample Information Requested Analysis <br /> Grab/ Date Time Sample <br /> Lab # _ Sample ID Com osite Matrix Collected Collected Pres. Container Q k45 <br /> 2-0 -3 6/A5 W `g x X k X X x <br /> GLJSi? Ww- X X X x X x X <br /> S)—1 Rol) — 4ao x X x x X X. X <br /> 14abx X. X. X x X X <br /> r i t X k L X X <br /> X X X <br /> OP X k X x X X <br /> Relinq.By: Received l: Date Time J <br /> �� Z 14-1TF <br /> Relinq.Ry' - I / Received By: Date� — Time <br /> Relinq/By: Received By: Date r, �h Time <br />
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