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ARCHIVED REPORTS XR0000780
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 XR0000780
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Last modified
2/15/2019 3:53:28 PM
Creation date
2/15/2019 2:23:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000780
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
Scanner
WNg
Tags
EHD - Public
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SEQUOJA ANALYTICAL SAIMME REC.F IFF LOG <br /> r�r rr.. <br /> CLIMT NAM R. - DATE Reccired at Lab{ � (DrloWng water)for <br /> REC.BY(FRIM 1) 1IMH Received at L«ah. rcgnlatflry pm poses. V ' <br /> IYORKORDFR—. -- 1 OG IN UATK, 3 (��'ast�rtflter)fns <br /> regntntory purposes; I <br /> CiRCIZ ME APPROPRIATE 10MIONI F, LAB SAMPLE DA.TR <br /> SAM PI-Ell 0 CL 11) DESCRIPTION MATRIX 901PLED COMMON(MC.) <br /> d. Custody sw(s) Pteaeat Ak* <br /> 1 Intact I B -� <br /> I main-of-CnstAbsent+ $ <br /> 3. I)m[zc Reports or <br /> Pac ' List Fres cut A <br /> 4.AirbilL Alrlrill l She r <br /> Frtscut fJ <br /> S. AkbM 6. <br /> G cern la Labels, I Absent <br /> t 7. Sample11h g7dINot Listcd ' <br /> as Chain-ef-Cit tad <br /> R .Sample Condition. t Iirokm*1 <br /> 9. Wes mformation on <br /> custody rcpar%traffic <br /> reports and sample <br /> labels e? No* <br /> 10. Smupla remved mthin <br /> hold tune. Na* <br /> 11_ Proper Pluermthts <br /> usedi No* <br /> 1 .Tenip Rm at Lab. <br /> (Acceptmee nmgc for samples <br /> Su"inn 1h0t rnal M 411-2.!Q Yea!No <br /> �sem 61 Ma ME SM ymm.na <br /> *Ff Circted,caniacE Protect Manager and attach record of r esehilion. <br /> SmVe Receipt Lmg <br /> awmm 21 itN10m) <br /> Rte l*n 2(l lM00) Page <br /> 11ttZ7QD <br />
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