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ARCHIVED REPORTS XR0000774
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CAMBRIDGE
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16470
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3500 - Local Oversight Program
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PR0544155
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ARCHIVED REPORTS XR0000774
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Entry Properties
Last modified
2/15/2019 5:09:30 PM
Creation date
2/15/2019 2:12:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000774
RECORD_ID
PR0544155
PE
3526
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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WNg
Tags
EHD - Public
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i <br /> SEQ110]A ANALYTICAL SAMPLE, REC:EVT LOG � <br /> � I <br /> C1,F F,NT NA]VI K: DA' EReceiveil,tt I.ab, QO (Drinkiiigwater)for <br /> Rcc.BY(P T.f) 1`Il41]�l ecciee�l at Lab: 1 t regiilsitary rrirpnRes Y33C11? <br /> t <br /> �YC1Itif{]RDF.R, rJ <br /> LOG IN DATE. (Wastaiva[er)for <br /> regulatory purposes: <br /> 2:2� <br /> C7RCL9 TKR API'ROPRTATIR.RF.SPONSR LAB SA,WLL I U&M <br /> 3At4JI'I # # CLIENT ID ]MCRIFIIOIN ]I+IA'17t1'X SAMPLED Ci?nrrioN(wro.) <br /> I.G0510dyr SeaI(s) Present Ibrei 4� tl <br /> Intact f R i <br /> 2 Chaurof-Cwilod res /Absent* <br /> 3-Traffic Reports or <br /> Pack Ltst Frrscrt Abel <br /> 4 A-irbill Airbiff 1 ti r <br /> Present bsent <br /> 5 Afrbnlli <br /> b Satriple Labelsresent f Absent <br /> 7. Sample IDs is /Not Listed <br /> on Chain-oPCuq dy <br /> S Sample Condition- lar; Broken*I <br /> Blau � <br /> 91 Does uTanuaborn on <br /> custody reports,trxfc <br /> reports and sample <br /> labels a rein es a* <br /> • <br /> 14 Sarnplo received within <br /> hold time No* <br /> l 1I Proper preservatives <br /> wed Mo* <br /> 12 Temp Ile-at fab, " <br /> (Acl Ttanca came for samples <br /> wren therms( res ql/--2°C) Yes/ a* <br /> *Tf Circled, contact Projce(Manager and attach record ofresD100n. <br /> i <br /> SwpTa Rocolpl Log <br /> Reglan 41{1 I/101W) <br /> RRcvlskin 2(11100+00) adage <br /> �OW 1174RfN1 <br />
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