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ARCHIVED REPORTS_XR0003134
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HUTCHINS
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3500 - Local Oversight Program
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PR0545307
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ARCHIVED REPORTS_XR0003134
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Entry Properties
Last modified
2/11/2020 9:55:27 PM
Creation date
2/11/2020 9:01:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003134
RECORD_ID
PR0545307
PE
3528
FACILITY_ID
FA0000932
FACILITY_NAME
DOMINO'S #8588
STREET_NUMBER
305
Direction
S
STREET_NAME
HUTCHINS
STREET_TYPE
ST
City
LODI
Zip
95240
APN
03319020
CURRENT_STATUS
02
SITE_LOCATION
305 S HUTCHINS ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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MRA%GNC. - IPage <br /> H� MOMSTM FWOF <br /> dna"cal Laboratory Phone (916)362.8947 .O.C. No. 10 6 5 4 <br /> 3050 Fite Gircie�#112 Sacramento,CA 95827 FAX (918)362-ON7 of STAB. Invoice Number ` <br /> Company ( 0DfD}1J Phone &cz-q t'2 l f ANALYSIS REQUEST , <br /> Protect Manager (,3cjS FAx ja.-�I r_ K r' REMARKS Sri Q•j 4,4r2 D -r,4 7- Sampler's ame ��R�s <br /> Report Address Billing Mame&Address / - BTLX- M T a€ <br /> 3 5 Suninw-,bV6 . -6(p r <br /> All None Some <br /> Prolect Name - Pro)ect/Job# OK OK OK WET STLC <br /> rJ '4 ��-£ylU.�j -`- = Cooler Temp 0C <br /> Pro)2�Location - Y - + �=-P0#-, Sample Condition TCLP <br /> pH <br /> F <br /> Preservative TCLP Total <br /> Sampiin Container Used Matrix TAT <br /> co coa <br /> t2 c_t> N Q� <br /> co <br /> v a <br /> Q <br /> � z - I _ I v t <br /> Fn (L rn <br /> 0 N <br /> m cU N (D N + a. Cu cli UID <br /> �. C <br /> E o a 0 0 0 0 att_ o 00 co n s r <br /> v <br /> E N ro � w m _m _ X m cmc rNo O 'n m <br /> NO SAMPLE ID Date Time 0 @ '� L U I a L `� I L P � a a a a l a 04 a o a y o <br /> V m — nr 010 z 0 cn a o m w w w w w w Z O it U 0 <br /> I X <br /> 3 �W"� <br /> Mw -.� 14 4 x ' . <br /> nD <br /> t 7 I MW-43.� I1)6 <br /> a mui- IT 11 <br /> 1rJ mQ-5 IF I1.3 C-'3o2 <br /> R inguis d y Received by Reling Fshe <br /> Receikorby <br /> - Date 17.115(195 1 Time /430 Date f 9s Time 113p Date t 4 S 4th Time I Bate �Z »/ Time ' <br /> PLEASE READ-REVERSE SIDE FOR TERMS AND CONDITIONS <br />
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