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ARCHIVED REPORTS_XR0009161
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PERSHING
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4501
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3500 - Local Oversight Program
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PR0545651
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ARCHIVED REPORTS_XR0009161
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Entry Properties
Last modified
5/6/2020 11:44:34 AM
Creation date
5/6/2020 11:18:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009161
RECORD_ID
PR0545651
PE
3528
FACILITY_ID
FA0002479
FACILITY_NAME
7-ELEVEN INC #17334
STREET_NUMBER
4501
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017004
CURRENT_STATUS
02
SITE_LOCATION
4501 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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LSauers
Tags
EHD - Public
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STL — LOS ANGELES f <br /> PROJECT RECEIPT CHECKLIST Date II 7� <br /> uantims Lot ## j - Quote <br /> Project <br /> Client Name <�2. <br /> Received by — �� Date/Time Received: <br /> Delivered by :[]Client ❑Airborne QFed Ex []DHL (]Ultra-Ex []Rey B <br /> []UPS ❑DES ❑Other <br /> ......................................................................................,..... <br /> .......... <br /> Initial / Date <br /> Custody Seal Status: PIntact ❑Broken ❑Norte ..... ............. ..... ..................• �!✓ <br /> Custody Seal #(s)• ❑No Seal # .......... <br /> Sample Container(s): ❑STL-LA �gClient ❑NIA .. ........... ..... ........................... <br /> Temperature(s) (COOLER/BLANK) in °C: C- C' ICORRECTE4 TEMPI_.... ... . <br /> _ Thermometer Used : 1R (infra-red) ❑Digital (Probe) ........... ................................. <br /> Samples: Wintact LjBroken - ter .-••...•••• •• <br /> Anomalies: No IYes (See Clouseau) .... ..... .......................... <br /> Labeledby _..... ........... .... ................ .................... ............. .................. <br /> Labeling checked by .A:�.............. ........ .............. . ... ................ ............ <br /> .........................................................................,................................. <br /> Turn Around Time:[]RUSH-24HR ❑RUSH-48HR ❑RUSH-72HR NORMAL ..... .. <br /> Snort-Hold Notification. ❑Ph ❑Wet Chem ❑Metals (Filter/Pres) ❑Encore--ON/A ... <br /> VV <br /> Outside Analysis(es) (Test/Lab/Date Sent Out) <br /> --- <br /> LEAVE NO BLANK SPACES USE NIA '" <br /> PH <br /> Fraction 7 S l�A <br /> VOAh 1` g <br /> • �Zas AOS s 1QS0� aFQ�01 rt}4+�3-add�°d rCLl9yO�l�h lffeer� <br /> ti Ma to H�aasd. <br /> MR EPe.�s Sala <br /> CG [les rlan lad. A4taeabs¢r.l: AG9.Ae�er Ga 9Downrrie M fair lo . Y VOA <br /> • Number of VOA's w/Seadspace present <br /> LOGGED BYIDATE 11 7 b REVIEWED BYIDATE. „�C_ r I 1 7 ' <br /> "M003 _ <br />
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