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ARCHIVED REPORTS_XR0002889
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_XR0002889
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Entry Properties
Last modified
1/31/2020 3:20:49 PM
Creation date
1/31/2020 1:45:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002889
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 1• 1. r l� 1• a 1• r a a r a �■r M r <br /> Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue, Suite E • Sunnyvale,CA 94086 a Telephone: (408) 735-1550(800)287-1799 . Fax: (408)735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Client: Project ID: 7'J, 16?56U COD <br /> -,���fi � LAB USE ONLY <br /> Address: <br /> Purchase Order#: <br /> pier Company: Telep one <br /> Samples arrived chilled and intact: <br /> Contact: � zQ 11h1�� s "/ �'c �''G5�S Yes No <br /> Telephone #: �07� �--� Special Instruction Comments <br /> Notes: <br /> Date Received: _Q ��a6 o <br /> Turn Around: <br /> Sample Information Re ested Anal sis <br /> 00 JUL 10 1 :98 <br /> Grab/ Too- <br /> Date � <br /> Date <br /> Tie4Pres. <br /> Sample <br /> Lab # Sample ID Como ' Matrix Collected Collected Container re <br /> �.� WeR <br /> Qac <br /> ooxelinq By: k02 :::�ty: •�` 6 Date <br /> e- x �(�• Time <br /> kelinq.Bv: <br /> IZecclved Ety; (�- <br /> Date 7 i[�c,. Time <br /> Datc Time <br /> � zap <br />
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