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ARCHIVED REPORTS_XR0010331
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545688
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ARCHIVED REPORTS_XR0010331
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Entry Properties
Last modified
5/21/2020 3:22:05 PM
Creation date
5/21/2020 10:28:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010331
RECORD_ID
PR0545688
PE
3528
FACILITY_ID
FA0003634
FACILITY_NAME
CANTEEN CORPORATION
STREET_NUMBER
1500
Direction
N
STREET_NAME
SHAW
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14326008
CURRENT_STATUS
02
SITE_LOCATION
1500 N SHAW RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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LSauers
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EHD - Public
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SAMPLE CHAIN 01WUSTODY RECORD <br /> DEL-TECH GEOTECHNICAL SUPPORT (PLEASE PRINT) Lab. Analysis by <br /> 10624 OLIVE AVE OAKDALE, CALIFORNIA 95361 LAB INVOICE TOr- R7 <br /> OFFICE (209) 847-8757 <br /> FAX (209) 847-7744 L RECORD OF PH # C20 ) gT k!] 51 <br /> CLIENT / CONSULTANT: P O #/INVOICE# <br /> ANALYSIS REQUESTED SITE SAMPLE MAP <br /> PROJECT/SITE NAME (ITEM=0 AND CHECKED RELDW) <br /> (NORTH) <br /> U) U3 <br /> Z U En <br /> �C) U Z cc <br /> cQ <br /> Ef2D 1 CITY STATE - o v o <br /> y� Cj d 0 J <br /> fv00 <br /> I!1_ HIP VIA a c z m <br /> SAMPL RENTED slclwztlRs) WAYBILL# p� T� Fa-W CD o ¢ a <br /> a �o a a �c � <br /> CC w x LU <br /> SAMPLE LOCATION DATE TIME NUMBER TSE SAMPLE c� o z tz x o o 6 c] <br /> of (CRAB OR _ ° a �- r ti <br /> (fDEATIFIGtTfON) AlTHJDAm� HO f AlrN [�NfAfNERs �MpO�TE 1 MATRIX Fes— m m m REMARKS I* SPECIAL INSTRUCTIONS BELO w <br /> 3 e ��, 3 1 <br /> 2) Z <br /> w 3 �- <br /> -753 24 <br /> 6.) <br /> 7) <br /> 8) <br /> 9) <br /> 10) <br /> \ �� ` f c + ••14MPLE INfECW)i CONDITION 6 TURNAROUND TIME •• <br /> y /!J r RFCEIVED COLD S INTACT ! 1 FS � NO <br /> N (SHED 8Y es + ■n ATE!TIME. R IY D Bl mrw ee, ATE!TIMEi)L(� PRFSER\ATIYES USED ! i ESJ)d NO <br /> CUSTOD) SEALS INTACT 1 YES ( } No i } NA_'�a <br /> 11 AIR BURBLES IN 4 O A S f YF.S � � NO � } I IhE F <br /> RELINQUISHED B} OWMTUFe, ATE1 TIME RE EIiFD Bl PDATE/TiMh <br /> TURK AROUA'D T!F!£ CIfECAO,VF <br /> � f <br /> j� t <br /> RELIVQLlSIlFSI$} .sr.�Slpe <br /> DATE/ � ' rl�f SKU Tr R� �orcn•n�Mo�r�F ATFITINF a HOUR i � aR li(lUR { � DA) 60 !0 DAi � ) <br /> NOTE LABORATORY SAMPLE ARCHIVING WILL BE 30 DAYS FROM THE DATE SAMPLE WAS COLLECTED,L,LESS OTHER ARRAINGEMENTS ARE MAD) a <br /> PLEASE RETURN DEL-TECH'S ICE CHEST AND BLUE ICE AS SOON AS'POSSIBLE THANK YOU DEL-TECH FORM C O C <br /> Pink - FICId Copy 1 White & Yellow - To Laboraton with Samples 1 Yellow - Retum to 0ient with Results <br />
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