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ARCHIVED REPORTS_XR0012521
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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18846
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3500 - Local Oversight Program
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PR0545627
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ARCHIVED REPORTS_XR0012521
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Entry Properties
Last modified
11/19/2024 1:50:34 PM
Creation date
4/28/2020 4:45:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012521
RECORD_ID
PR0545627
PE
3528
FACILITY_ID
FA0003883
FACILITY_NAME
VICTOR FINE FOODS
STREET_NUMBER
18846
Direction
N
STREET_NAME
STATE ROUTE 99
City
LODI
Zip
95240
APN
01709051
CURRENT_STATUS
02
SITE_LOCATION
18846 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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AIN OF CUSTODY RECORD Will r SHERWOOD LABS <br /> P.O. BOX 937 <br /> 8071 N.BoxL937er Avenue HILMAR,CA 95324 <br /> Sherwood PO r� <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Afteraion t hone: <br /> C O R P D R A T r O N FAX (209 667-2581 VICKI RUBIS 209-667-52681 Page Qf <br /> Job#lumber P.Q.r 1 r !Mame <br /> Cm2 mem y <br /> Sampiers_(Srgnalure) Silt Address �GJ <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE P <br /> {IDENTIFICATrON) (li YWDAY/YR) (HOl3RIMIN) OF {GRAB OR MATRIX <br /> CONTAINERS COMPOS11TE) REMARKS <br /> LC1 / 5 i/-0/ Sole- V4 1 atsss�-Oct <br /> mw io <br /> rnu� is <br /> Le 3 �ffo <br /> �cc1 r e X515 z <br /> /I7Gtl / 69 D -- <br /> /nut <br /> �`7rMJI ru,11 i � 3 <br /> I p <br /> C• <br /> Q <br /> f�3 <br /> Relln fished By:{Sigr►et } Delefrime C J�— Q f Received Ey:(S1grfBlure) DmttelTKrse <br /> TURNAROUND TIME <br /> 1/,�Oz� <br /> RehWished By:(Slgnaflum) (Tafg/rime Riceiveil By:ftnawre) DatarTene 24 HOUR ❑ <br /> OL� 48 HOUR ❑ <br /> rin ished <br /> qu' By:(Signature) elrane Reoehed By:(Signature) Daw7-mfe DAY <br /> rtC <br /> DISTRIBUTION; Original-Accompanies Shipment CanaryCoPy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days aper results are reported unless other arrangements are made. <br />
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