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ARCHIVED REPORTS XR0012869
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CHARTER
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1521
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3500 - Local Oversight Program
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PR0544466
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ARCHIVED REPORTS XR0012869
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Entry Properties
Last modified
5/16/2019 3:42:02 PM
Creation date
5/16/2019 3:24:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012869
RECORD_ID
PR0544466
PE
3528
FACILITY_ID
FA0005303
FACILITY_NAME
HOLT OF CALIFORNIA
STREET_NUMBER
1521
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16337015
CURRENT_STATUS
02
SITE_LOCATION
1521 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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• <br /> CHAIN OF CUSTODY RECORD Bill To 7 , L >*-- h <br /> kp <br /> Sherwood 8071 N Lander Avenue C 9 a <br /> J[ P O Box 937 <br /> U Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone <br /> C o A P o R A r ! o u FAX (209) 667-2581 1 y - LLJTPage of <br /> JA <br /> Job Number Project Name <br /> � c>l �4?oS ���\ [ �j <br /> Samplers (Signature) T�j C O\ 1�T� 11 <br /> SAMPLE SAMPLE NO �\ <br /> NUMBER DATE TYPE TYPE SAMPLE INFORMATION OF ti� p O� REMARKS <br /> ICNTFIS <br /> / o z2a A5 12v '4t1.c J re,,R, <br /> f <br /> '2,9 re, Z b-z-2 ,c-.`% Z� 14 t ZA <br /> R <br /> Relin i ed (Si tare) Date/Time R rved By (Signature) DatetTme Ship Via <br /> I R 1\9� "- a /6 6 17 ! Art, <br /> Relinquish D t ime Recery By (Signature) Date/Time <br /> -- TURNAROUND TIME Date <br /> Relingwsh By,(Signature) n Daterrime rved By (Signature)' Date�me ❑24 HR �b Day ❑10 Day <br /> �1Lu l a <br /> 10 to <br /> DISTRIBUYION Original Acco antes ShipmenP Canary Copy Sherwood Pink Sampler NOTE Samples are discarded 3b days after results are reported unless other arrangements are made <br />
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