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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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ANANM <br /> NC <br /> 1 Envuonmentoi&A�yhGal Cher-'s* y <br /> 408 C32 8192se Drive Sct to E SOB .o>a tol <br /> REPORT <br /> {408)132 819 Fox(408)432 81c3 <br /> MR. ED HAMILTON Workorder # : 9122186 <br /> MCCAMPBELL ANALYTICAL Date Received : 12/18/91 <br /> 110 2ND AVENUE SOUTH, #D7 Project ID : U/L/T1 <br /> PACHECO, CA 94553 Purchase Order: U/L/T1/121791 <br /> ' The following samples were received at Anametrix, Inc. for analysis <br /> ANAMETRIX ID CLIENT SAMPLE ID <br /> ' 9112186- 1 090130 <br /> 9112186- 2 090131 E 3 f.-!b <br /> 9112186- 3 090132 r� ms-zO <br /> 9112186.. 4 090133 Z a s--2- 3 <br /> 9112186- 5 090134 azIs -26 <br /> 9112186- 6 090135 Ee s- 34 <br /> 9112186- 7 090136 Els 5 4 6 <br /> ' 9112186- 8 090137 Cis5 - IS) <br /> 9112186- 9 090138 'zl%5 - 54 <br /> 9112186-10 090139 ERIC f) <br /> 9112186-11 090140 F„y -A-? <br /> 9112186-12 090141 &Z4-N <br /> 9112186-13 090142 5754 -37 <br /> 9112186-14 090143 Em,4 -36 <br /> 9112186-15 090144 Q Ts4-41 <br /> 9112186-16 090145 0134-46 <br /> 9112186-17 090146 *r3u— S� <br /> 9112186-18 0901.47 &-z s- 5d <br /> 9112186-19 090148 FESS-wl <br /> ' 9112186-20 090149 A-5 4-WI <br /> ' This report consists of 5 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 />' - o- 191z- <br /> saran <br /> 91ZSara Schdlen, Ph. D. DXJe <br /> Laboratory Manager <br />■ <br />
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