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ARCHIVED REPORTS_XR0005003
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_XR0005003
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Entry Properties
Last modified
9/16/2020 12:37:42 AM
Creation date
3/19/2020 1:56:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005003
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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�r rl� r r r �s ■r■� r r r r r r �lr r �■ r r r <br /> CD <br /> McCaRibell Analytical tnc. 0 It <br /> n <br /> CHAIN-OF-CUSTODY RECORDCEO <br /> I Irl�e�nnr{ 4eequc Snu[h l71 Ya,-L 1 erC t C <br /> P3 h�cu [A Q4,,i3-17360 <br /> (933)708 1620 <br /> n <br /> V1 ark0rder 0203258 v <br /> e <br /> n <br /> Client m <br /> w <br /> Advanced GeoEnvEronmental TEL ' <br /> w <br /> 837 Shaw Road FAX <br /> Stockton,CA 95215 ProfectNo Loral Food Store <br /> PO r+ <br /> H <br /> 14-Mat-02 w <br /> Sample ID ClientSampm Matnx Collection Date Bottle 802 /8015 SW828OB 4Requested leafs <br /> 18 M Y <br /> 0 <br /> 0203258-001 MWI)I53-13-02 Water 3113/02 9 42_00 AM A B <br /> 0203258-002 MW2/03-13-02 Water 3/1 3102 10 15 00 AMI A B <br /> 0203258-003 MW3/03-13-02 Water 3113102 9 05 00 AM A I B — — — <br /> 02058 32 004 MW4/03 13-02 Waler 1 3/13!02 9 22 00 AM q - - --6 <br /> - - — — -- <br /> N <br /> V1 <br /> V <br /> CO <br /> m <br /> fV <br /> I <br /> N <br /> N <br /> Comments <br /> 0 <br /> N <br /> Date/lime <br /> Da tel Ione <br /> Relinquished b1 <br /> Recen ed b i n <br /> Relinquished b) itecei►ed b� <br /> Relinquished b,, <br /> Retel%ed bti <br /> I <br /> NOTICE Solid samples are discarded after 60 days and Non-Sohd samples are discarded after 30 days unless other W <br /> arrangements are made Hazardous samples will be returned to(hent or disposed of at client expense coo <br /> Bottle Type L-Liter V Voa S-S011 Jar 0 Orbo T Tedlar B Brass P Plastic OT Other N <br /> v <br /> r <br /> I <br />
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