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ARCHIVED REPORTS_XR0002887
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_XR0002887
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Entry Properties
Last modified
1/31/2020 3:15:23 PM
Creation date
1/31/2020 1:42:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002887
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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lam m m m m m m M m m m m mar M ; <br /> Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue, Suite E • Sunnyvale,CA 94086•Telephone: (408)735-1550(800)287-1799 a Fax: (408) 735-1554 I <br /> Chain of Custody/Analysis Work Order <br /> , <br /> Client: _., As � A��� Project ID: (oLb� 3.wb} 5 LAB USE ONLY E <br /> Address: 0t,,1CJ1<_, 1)P 1 Uf Purchase Order#: <br /> Sampler Company: Telephone Samples arrived chilled and intact. <br /> �C, ASSOG 4w-S 3 0,P Yes No <br /> Contact: �l�,� � _1= �r"t,-t<� � E�•F SP�-�► ,A! - <br /> Telephone #: Special Instruction Comments Notes: <br /> X25 hin9 �;'?,4C� - i <br /> Date Received: k C, -tom <br /> Turn Around: _w c�Lyjti a l _ <br /> Sample Information Re nested Ana! sis <br /> Tco <br /> Grab/ Date Time SampleZ L <br /> Lab# Sample ID Composite Matrix Collected Collected Pres. Container ' <br /> 1)53 X <br /> X Y <br /> �Q <br /> Dale -rime <br /> Relinq.By- t „ I <br /> Received By: <br /> - r / <br /> Received Hy Date Time <br /> , <br /> Relincl.11)': .,i 7r _) <br /> I� Reliny!fig: Received Bv: Date <br /> rime i <br /> I� <br />
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