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ARCHIVED REPORTS XR0010914
Environmental Health - Public
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EHD Program Facility Records by Street Name
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EMBARCADERO
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6649
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3500 - Local Oversight Program
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PR0544727
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ARCHIVED REPORTS XR0010914
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Last modified
8/1/2019 4:42:27 PM
Creation date
8/1/2019 4:22:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010914
RECORD_ID
PR0544727
PE
3528
FACILITY_ID
FA0003830
FACILITY_NAME
VILLAGE WEST MARINA
STREET_NUMBER
6649
STREET_NAME
EMBARCADERO
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09815006
CURRENT_STATUS
02
SITE_LOCATION
6649 EMBARCADERO DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Bill To: <br /> CHAIN OF CUSTODY RECORD F� — <br /> Sherwood 8071 N. Lander Avenue <br /> aLJ11 <br /> P.O. Bax 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention: �}� Po YX� Page of <br /> c o R P o Ra r r o NFAX (209) 667-2581 �f <br /> Job Number Project Name <br /> Samplers:(Signature) f7 r! P.O.Number: <br /> �� j <br /> SAMPLE SAMPLE NO. <br /> NUMBER DATE TIME �,P SAMPLE INFORMATION OF r,�,+'' REMARKS <br /> CNTRS <br /> r ., f <br /> rr 3 X <br /> Relinqu�iphed nature) Date/Time Re <br /> ce <br /> ived By:�(Signatue2 DateTme Ship Via: <br /> d9 <br /> 97/, ^ " <br /> J <br /> Relinquished By:(Signature) DatelTime Received By:(Signature) Date/Time <br /> TURNAROUND TIME: Date <br /> Relinquished By:(Signature) Date/Time Received By:(Signature) Date/Time ❑24-HR D 5-Day ❑10-Day <br /> DISTRIBUTION:Original-Accompanies Shipment: Canary Copy-Sherwood Pink-Samples NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />
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