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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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EHD - Public
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i <br /> SEQUOIA ANALYTICAL SA"k%IPT,F,REC:l IPI LOG <br /> w �u .ua rr x a xrrrnr .m <br /> CI.IF fYT NAS RDATF Received ill L2b, (Drinking isuler)for <br /> REC.BY(1'I;11X7) TWE Received at Lab. regulatary Ilarposcs- '4`14:5 <br /> R'ORKORDER• ' _ LOC,IN 1]A'1 V- fF (Wastelvator)fol <br /> iegulAory Purposes. y {I\ <br /> CIRCLE THE APPROPRIATE RESPONSJK LAII SAMPLE DATE <br /> SANTPLE# # CLIENT TA DPSCRIPTION MATRIX SAMPLED CONDITION(ETC) , <br /> L CuytadySeal(s) Present hbPI --�� [ '�IntactfBr WQ r <br /> j2 Chain-of-Cugod res t !Absent* Q { , <br /> i 3 'lraflio kepoits or b <br /> Packin Us# 1'nCSCit[f l <br /> 4 Airbill Arrbill <br /> Ptc,Senl <br /> 5-Airbilt# <br /> 5- Snr ]c I abcls roscn 1 Abscrtl -� <br /> 7. Saniplo IDs Misled y O! <br /> on Citaut-oF Custod r.] ; <br /> B S-ample Condition irtac Braken*/ <br /> rl Daae inrarmal[on on <br /> A <br /> cli5tody mpori%tr dim <br /> reports and sample 1 <br /> labels agrea') s Na* <br /> 10 Sim&received wilhin <br /> ]told thic No* <br /> I I Proper Preservatives <br /> used REV No* <br /> 12. Temp Iteo at ub <br /> (Acceptance range for Samples <br /> re n irinp,thermal pres i+1--2°C Yes!No* , <br /> JS�1[S • •g9[VGOC1$ y? 1 <br /> *If ChCled,ceMae t Pi oject Manager and attaeb record of i esoiution, i <br /> Samples Recarpt tog <br /> Nevis Ion 2 t(11(Ica) <br /> � Albu ces Retirts[arr 2 ti 7faBlQrJ) � Page <br /> Are i iit2100 <br />
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