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ARCHIVED REPORTS_XR0003170
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545307
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ARCHIVED REPORTS_XR0003170
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Entry Properties
Last modified
2/11/2020 10:14:28 AM
Creation date
2/11/2020 9:04:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003170
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
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SJGOV\sballwahn
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EHD - Public
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ANAMErRIX INC <br /> Environmenlai 3 Analytical Chem stry �O RE <br /> �O�Tq81Coc'urse Drve Sure E San Jose Ca^5� 1 11 <br /> 8)132 3102 Fax(108)432 5198 <br /> MR. ED HAMILTON Workorder # 9112245 <br /> MCCAMPBELL ANALYTICAL Date Received : 12/24/91 <br /> 110 2ND AVENUE SOUTH, #D7 Project ID : U/21/121291 <br /> PACHECO, CA 94553 Purchase Order: N/A <br /> The following samples were received at Anametrix, Inc. for analysis <br /> ANAMETRIX ID CLIENT SAMPLE ID <br /> 9112245- 1 090148 <br /> 9112245- 2 090149 <br /> This report consists of 8 pages not including the cover letter, and <br /> is organized in sections according to the specific Anametrix laboratory <br /> group or section which performed the analysis (es) and generated the <br /> data. The Report Summary that precedes each section will help you <br /> determine which Anametrix group is responsible for those test results, <br /> and will bear the signatures of the department supervisor and the <br /> ' chemist who have reviewed the analytical data. Please refer all quest- <br /> ions to the department supervisor who signed the form. <br /> Anametrix is certified by the California Department of Health Services <br /> (DHS) to perform environmental testing under Certificate Number 1234. <br /> A detailed list of the approved fields of testing can be obtained by <br /> calling our office, or the DHS Environmental Laboratory Accreditation <br /> Program at (415) 540-2800. <br /> If you have any further questions or comments on this report, please <br /> give us a call as soon as possible. Thank you for using Anametrix. <br /> Sara Sc oen,r a e <br /> Laboratory Manager <br /> 1 <br /> } <br />
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