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ARCHIVED REPORTS_XR0003170
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_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
Tags
EHD - Public
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= = m = Is = = mm m = <br /> u T!Ilrkx 2 Inc • CHAIN OF CUST Y <br /> An Envlr0rnrtxernte.l Servloom CampeLriy <br /> (510) 455-4821 OFFICE (510) 455-4Lgg5 FAX DATE• �')42- <br /> PROD. MGR - - M,kL (dopzt- ANALYSIS REQUEST v <br /> COMPANY_ Uv 014 IrnO. T T T B O M P H v O o T S e <br /> 2456 Arms Street P P P T BC E R L L G G O 0 R <br /> ADDRESS <br /> H H H E G T sv G O A A A A u r <br /> 4650 E C T N H L D <br /> G G D X A A A I I I L <br /> SAMPLER'S B L L a E C C L E N <br /> SIGNATURE `/�� S E H $rA <br /> L wPHONE NO x02 455--4991 T SAMPLE I.D. DATE TIME MATRIX X b,Zn <br /> [I3�-- �6 la�r�°i1 f'i3D RATER No. 090147 <br /> Boa _ <br /> WATZ& <br /> — w1 f (�r� tb2o aoa W.trR No 090148 <br /> 8'{ -Luh ? t3 ` �5 3G /VA NQ 09 <br /> 3149 I '� t� crc pig,. 6 , <br /> son <br /> WATER <br /> Boa - <br /> WATER <br /> l <br /> Cf <br /> w <br /> PROJECT INFORMATION; 4Ll gYrl �j RELINAULSKED BY: ELINgU1SHED X <br /> Slsaakuce 8ltoatyra <br /> 30S $ uc6c�..�c Lo eQ CAS ! ��l*arturo <br /> LABORATORY INSTRUCTIONS/COMMENTS• print-ad fs pkimted. v me , Printed Nw o <br /> r <br /> Tura Around T1me (Chole One) F��' ��^'� ?° / .V C C Q 10- O /' <br /> Company Co <br /> Same Day seri He* 48 Rea <br /> CompaN <br /> / <br /> Time c�gl S Data r 16�'I/ �-��r /-� ''1me!�•I�� <br /> 72 Mrs Norm Tim• Date Date <br /> �R <br /> RECEEC�.`IVECD HYt RE IYED BY <br /> �ED aYt <br /> 1 } ssa►tuer �I.SnatuaY / B orture <br /> 4G --I <br /> tA <br /> —' !� Tlf+-arc T-A* "iPk r+Gv-SSC Lnt.rd Name Peimt4 Name Prfaerd clam• <br /> ALY'r:ICwt Com a p&ny <br /> ORARY a�V cwm <br /> TY�4-- __.- Time�� Date /Z L ? T.. /a`�� Date 'C�4 ' ' hma �� c� Dste ��-�G- / <br />
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