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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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SE UOIA ANAMICAL SA R'LlE RECWT LOC <br /> 1 <br /> DATE Receivcd at J,uh; 10a (Drinking ivater)for = <br /> REC.BY(VXINT) 'I lili I Resolved at Lab: �- regulaiory purlrn*es: yNni <br /> 1YC1RKilRTIF.Jt: 4 LOC II I DATE: (Wask ester)for <br /> rcgulalory purposes Y j <br /> CIRCLE THEE APPRO-PRTATE Rit.ST+QmrsR T.AT3 SA iFLR i)ATY. <br /> SAAO'LT3# # CLTF•lYT 113 OF-Sr-RTPTION AIATM SAIWIPLED CONDUION(UTC) <br /> 1 c«tudy Seal(s) I A <br /> _ blast I ' <br /> r �+ <br /> 2.Chai"f-Cuslody fAb5eitk4 V <br /> i <br /> ! 3 1 raffic RCildttS or <br /> I l'$ckl ng 1 isl; present <br /> 4 Airbill AM[ er <br /> Pressers I [ ,4 L <br /> 5. Amb1`ll l a <br /> ! G Smpla Labels t/!lbaeszi <br /> I, 5.rm4)1e IDs .est Mt Lbted <br /> Oil Chain-of-ctotod <br /> 8 Sample Corldit+un ct Broken* <br /> ro � <br /> 9' Does infolmation an <br /> crlstedyTeparfs,tmtme <br /> reports mtd sample <br /> labcla e'r Y+ No* <br /> 10' Sample reserved within <br /> hold time- ANO <br /> i l l!Proper Prgarv.Jlww <br /> used � + <br /> 12 Tamp Rtm at T,ab: <br /> I <br /> (A }tlenco range fur s;rmples <br /> nil rang thaml prm 4-1--2°C WOW <br /> - <br /> *If G*ticd conga ct I'ro`ect Afaunger and attach record of molntion. <br /> Sample RemTpi UV <br /> ROW=21(hilt W) <br /> RDRWW Revlslan 2 f 1 iflt6eb01 Page <br /> 11 t1�Q0 <br />
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