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ARCHIVED REPORTS_XR0007985
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WEST
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3302
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3500 - Local Oversight Program
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PR0545872
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ARCHIVED REPORTS_XR0007985
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Entry Properties
Last modified
7/21/2020 4:14:07 PM
Creation date
7/21/2020 4:09:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007985
RECORD_ID
PR0545872
PE
3528
FACILITY_ID
FA0025947
FACILITY_NAME
JAYS MINI MART
STREET_NUMBER
3302
Direction
N
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11705037
CURRENT_STATUS
02
SITE_LOCATION
3302 N WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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LSauers
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EHD - Public
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0 <br /> ATC ASSCOATES, INC <br /> CHAIN of CUSTODY <br /> Project Information Report To Samples Submitted To <br /> Project No 5 {,Z6r 71 o—"? Consultant ATC Associates Inc Laboratory Argon I abs <br /> Project Title r s-� L_ rve Address 1117 Lone Palin Avenue Suite B Address 3437 51h Slteel <br /> Location Modesto Cahfointa 95351 <br /> Ceres (A 95347 <br /> �1-b, <h, Contact Jc-,,-,,, 11L ,SrJ Contact <br /> Sampler's Name rr Phone (209)579 2221 Phone 12991581 9280 <br /> (Print) J t— ��t1 ,✓�!1�— Fax <br /> (299)578 2225 Fax (249)581 9282 <br /> Sampler s Signature Bill To Date Results Required <br /> Client Same Date Report Required <br /> / Address <br /> i <br /> i <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> 15 Day) (10 Day) <br /> L�J ® tLL1 c <br /> C v <br /> W m U7 <br /> rn __ <br /> N T � <br /> N � <br />� m W r3 LL d <br /> w s1O,i n a COMMENTS <br /> Sample ID Date Time #Containers Matrix Preservative <br /> Mw 1 Ie7 �f 1�TS �„�� X X <br /> Relinqufshed y7 Date <br /> t Q►IfDSTime <br /> � Tone SAxEyCiIAI INSTRUCTIONS <br /> q m1s <br /> tr T}3�= TIj Mr f7�Y%, <br /> Relmqulshcd 9y Dale Time Received By Date Time i 13/1 <br /> ReNnquished By pate Time Recefvad By pate Time r -y -7 <br />
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