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ARCHIVED REPORTS_XR0004998
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MONTE DIABLO
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2650
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3500 - Local Oversight Program
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PR0545577
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ARCHIVED REPORTS_XR0004998
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Entry Properties
Last modified
9/16/2020 12:18:30 AM
Creation date
3/19/2020 1:53:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004998
RECORD_ID
PR0545577
PE
3528
FACILITY_ID
FA0003836
FACILITY_NAME
LOCAL FOOD MARKET
STREET_NUMBER
2650
STREET_NAME
MONTE DIABLO
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
13311131
CURRENT_STATUS
02
SITE_LOCATION
2650 MONTE DIABLO AVE
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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Mccamp ell Analytical Inc. <br /> p y �� CNAIN-OF-CUSTODY RECORD Paye 1 °f 1 <br /> 1]0 Second Avenue South,#iD7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1520 WorkOrder 0208457 <br /> Client 4 <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Local Food Store <br /> _ PO 27-Aug-02 <br /> Sample 1D CllentSamplD Matrix Collection Date Requested Tests <br /> Bottle 8021$18015 SW8260B - _ _ n <br /> 0208457-041 MW11082302 Water 8123102170 40 00 AM A B - <br /> 0208457-002 MW21082302 Water 8123102 9 38 00 AM A B <br /> 0208457-003 MW31082302 Water 8123102 10 08 00 AM A B <br /> 0208457-004 -� MW410823102 _ w Water 8123102 10 24 00 AM A B <br /> 1 -- - <br /> Comments. GlobalINT0607700187 <br /> — - - -- — -- -- Date/Time _�— - ---- - - ---- -f Date/Time j <br /> Relinquished by _ _ Received by <br /> Relinquished by _ _ Received by <br /> Relinquished by. Received by. <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br /> s <br /> Bottle Type L-Liter V-Voa S-Sojl Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> f <br /> i <br /> a <br /> I <br />
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