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ARCHIVED REPORTS XR0003389
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2725
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3500 - Local Oversight Program
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PR0544596
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ARCHIVED REPORTS XR0003389
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Entry Properties
Last modified
6/24/2019 2:32:24 PM
Creation date
6/24/2019 1:45:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003389
RECORD_ID
PR0544596
PE
3528
FACILITY_ID
FA0002064
FACILITY_NAME
7-ELEVEN INC. STORE #14117
STREET_NUMBER
2725
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2725 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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STL — LOS ANGELES Date: L—kIt <br /> PROJECT RECEIPT CHECKLIST <br /> Quants ms Lot # CDR I1 O( Q 3 Quote # 3� Z <br /> tient Name <br /> .T le, Project: <br /> Received by _ Date/Time Receive l D <br /> Delivered by .❑C ient ❑Airborne [wed Ex ❑DHL ❑Ultra-Ex ❑Rey B <br /> .CUPS ❑DES ❑Other <br /> r.•rre•e•rrrra+aa•e•+•e+a•aaa+•r•e••e+as aa+e•+••++••rrr•+e eawrres•arse•ease•+aeeaa•e•rao•+rree•+••a••se rer <br /> y None .. ......... ... ...... ........ .. ... . <br /> Custody Seal Status ❑intact ❑Broken �� <br /> [� . . <br /> Custody Seal #(s) d5eal # <br /> STL-LA lent ......... ....... . .. . . ... .. <br /> Sample Container(s) ❑ +� NIA .. ..... ... <br /> 1 Temperature(S) (COOLERIBLANK) in °C. CORRECTED TEMPI <br /> Thermometer Used . i <br /> IR (Infra-red} ❑Dital (Probe) .... ... . ........ .. ... .. ... . . <br /> 9• <br /> Samples Dffi'tact ❑Broken ❑Other •- <br /> Anomalies: [�1� ❑Yes (See Clouseau) . . <br /> Labeled by . .. .. ... ....... <br /> Labeling checked by .,. .. .. .. .. . <br /> rr••r•eer•serera••rrer•re•e•O•aa+r••ar•tl•eee+aale•O•rlere•Or•er•r+♦•elea•a•+f••re ee r•1••r••reer•+re •+•••rr+ <br /> Turn Around Time ❑RUSH-24HR ❑RUSH-48HR ❑RUSH-72HR ❑�RMAL E[N/A Short-Hold Notification ❑Ph ❑WetChem ❑Metals (Filter/Pres) [:]Encore A <br /> outside Anal sis(es) (Test/Lab/Date Sent Out) <br /> s+a•r•++ea <br /> LEAVE NO BLANK SPACES, USE N/A ••"'•+"° <br /> N/ <br /> [VF7Ltion <br /> r 3 <br /> 1 <br /> ih HCl n&Sadwm Hydoxide —^•ZmC AeevodSab+um Hydrmude e:H2SO4 g0HIN 3 NFHNO3 Eiewd fli Deed mf HNO3dab Murod <br /> CO'Clear GUM I= COB Cteor Glue Bahr AGJ Amber GIM Jar AGB Amber G1m Boate PB,Poly Howe EEaoore Sa Pi r V VOA <br /> dumber of VOA's w!Headspace present <br /> LOGGED BY/DATE tt 1� REVIEWED BY/DATE <br />� rile.r S Oi6lae FII/ <br /> 000003 <br />
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