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ARCHIVED REPORTS_XR0003968
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LOCKEFORD
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429
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3500 - Local Oversight Program
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PR0545394
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ARCHIVED REPORTS_XR0003968
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Entry Properties
Last modified
3/5/2020 3:07:32 PM
Creation date
3/5/2020 2:22:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003968
RECORD_ID
PR0545394
PE
3528
FACILITY_ID
FA0005372
FACILITY_NAME
MAR-VAL MARKET*
STREET_NUMBER
429
Direction
W
STREET_NAME
LOCKEFORD
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
429 W LOCKEFORD ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Chain-of-Custody Number: <br /> 7638 <br /> SEACOR Chain-of-Custody Record <br /> Q <br /> 6 4(oO <br /> Project # 500 3 Task N _H1202 Analysis Request <br /> Project Manager " <br /> v <br /> C <br /> Laboratory " C <br /> "IMu•n-around time: <br /> x Comments/ w <br /> Sampler's Name: KAU2 o o a= Instructions <br /> Sampler's Signature: m a E �" �� ° c" a E <br /> Sample ID Dae Time Matrix 1- F- F- x g a 0..2 F- <br /> 13 <br /> 136 sail >C <br /> Z-�, 1 1 ZO° $Dl t <br /> M,uJ -3-1 i k3 1116 <br /> � N�vJ�3•Z i •� I�.�° X <br /> S C��i - ti- 1 t t� 65 • <br /> �1 �Z ibi <br /> 1 -�b �otil <br /> 1311 <br /> Special Instructions/Comments: Relinqui h by: Received by: Sample Receipt <br /> Sign Sign Total no.of containers <br /> Print Print Chain of custody seals: <br /> Comp Company Rec'd good condition/cold: <br /> Time Date ti Time Date Conforms to record: <br /> Relinquished by; Rete' <br /> Sign Sign AAClient: <br /> Print Print <610 <br /> C^ <br /> Company Company Client Contact: <br /> Time Date Time Datef �YN Client Phone Number: <br /> Date / / Page of <br />
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