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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2020
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2500 – Emergency Response Program
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COWZDVCQZ
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Entry Properties
Last modified
7/24/2023 9:49:11 AM
Creation date
7/24/2023 9:36:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COWZDVCQZ
PE
2546
FACILITY_NAME
NEAR PRIVATE RESIDENCE
STREET_NUMBER
2020
STREET_NAME
PARK
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
NEAR 19809016
ENTERED_DATE
7/14/2020 12:00:00 AM
RECEIVED_DATE
7/14/2020 12:00:00 AM
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\bmascaro
Tags
EHD - Public
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CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location: 2333 Shuttle Drive, Bldg 908/909, Atwater,CA 95301 Certificate No. 2480 <br /> Mailing Address: 2333 Shuttle Drive,Atwater, CA 95301 PAGE OF <br /> Phone: 209 384-2930 - Fax: 209 500-1848 <br /> Customer: PG&E Stockton REQUESTED ANALYSES Method of Shipment: <br /> Address: 4040 West Lane L o <br /> City/State/ZIP: Stockton, CA 95204 x �' Z <br /> LU � Notes: <br /> � ; o o w Q <br /> Phone/ FAX: 209 942-1401 2) a L m o N T <br /> FAX: (209) r� 2 a (0 m N d Z <br /> Proj#/ PO#/Global ID: d a ; w o o <br /> Report Attention: Alex Steele/ Dave Larsen LL <br /> a ° a � a, w � m o m ° <br /> � 3 � D D N U oU w <br /> Sampler Signature: 0 a CO a_ co <br /> Sampler Printed: g v o z <br /> w <br /> Lab ID# SAMPLE ID MDATETIME DESCRIPTION/LOCATIONOBSERVATIONS/REMARKS <br /> Z <br /> Total number o con ainers <br /> Signature Printed Name Date Time Company Name submitted to the laboratory <br /> Relinquished by: < <e 7' 6•. Turn Around Time: <br /> Received b24 Hour 0 <br /> Relinquished y: 48 Hour 0 <br /> Received by: 3 Day 0 <br /> Relinquished by: 5 Day (NOrmal) 0 <br /> Received by: SpeClal: <br />
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