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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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�)'S)a 1 v� <br /> CHAIN OF CUSTODY RECORD BdITo <br /> Sherwood P 01 ox 93der Avenue Lo S-.) r <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone Page �. of <br /> C O R P 0 R a T 1 0 w FAX (209) 667-2581 '� - <br /> Job Number Project Name <br /> *k Samplers (Signature) <br /> NO <br /> SAMPLE DATE TYPE SAMPLE SAMPLE INFORMATION OF Cyd REMARKS <br /> NUMBER TYPE CNTRS <br /> A - a3 ` 7 - 3 <br /> -31 <br /> C <br /> I <br /> Reim ed (Si natu ) DatelTime / P r, Received By (Signaw*-- Da1te}/Time A-1 Ship Via <br /> Re fished By (Sighat re) Date rime Received (Signature) Daterrime <br /> �; ` �7 .L r rC TURNAROUND TIME Date <br /> Relinqui ed By (Signature) DatwTime Be&gived By (Signature) Date/Tt e <br /> � � _ 0 24 HR �-pay ©10 Day <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Samplerl NOTE Samples are discarded 30 days a er results are reported unless other arrangements are made <br />
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