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ARCHIVED REPORTS_XR0008020
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_XR0008020
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Entry Properties
Last modified
7/21/2020 4:18:12 PM
Creation date
7/21/2020 4:11:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008020
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
Tags
EHD - Public
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w <br /> John P. Cummings & Assoctates <br /> fnwronmental Corrauitanls <br /> CHAIN OF CUSTODY - <br /> +r "` Ph is 10) 5051?722 PC Bax 2847 <br /> Fax 15141 391-3308 Fremont, CA 94536 2847 <br /> 110 2nd Avenue South D-7 <br /> y Pacheco, CA 94553 Contact: Q Sampler. <br /> q;,-V!M-798-1620 Project Hansa:� ��.-�-tM� �� ,��1 Ra.0's60 O.?.09 <br /> Contact'. Date: <br /> Analysers Requested <br /> 6 <br /> f- sea p C� <br /> G° 4� }�� � �8 c1h' <br /> l.D. Data/Tinea Metrix Cantalner Lab_ • <br /> Sample roD� <br /> Sampled 1}ssc. No. of Type Aq A. 0 Comments <br /> 2. <br /> 3. 6 I 1�' <br /> 4. 4701i <br /> 5- 1, 4,01 ;1 t�tlV2±Et %f <br /> 47012 �f- <br /> 4?0 1 3 i------ <br /> 7. <br /> 47014 <br /> Raiinquished bpi. Date: !Ze <br /> Time:? Roe-dived bYsw"e'a- Date: � � Time: 17.'4(4 <br /> Relinquished try: flats. Time. Received by: Date. Tim a- <br /> 1 <br /> 11e11nQuIshed by: Date: Time: Received by: Data. Tirna. <br /> Turnaround Time: pY <br /> Additionalca,$ D`�S � �-� i c�'S� y3 <br /> Comments: c+.sAIA-CflU0 0 T W 0vfZ Pave of <br /> 1 <br />
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