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ARCHIVED REPORTS_XR0008510
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WATERLOO
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4315
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3500 - Local Oversight Program
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PR0545859
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ARCHIVED REPORTS_XR0008510
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Entry Properties
Last modified
6/3/2020 5:07:15 PM
Creation date
8/15/2019 11:58:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008510
RECORD_ID
PR0545859
PE
3528
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
02
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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BLAINE 1680 ROGERS AVENUE CONDUCT ANALYSIS TO DETECT LAB Sequoia DHS# J <br /> SAN JOSE,CALIFORNIA 95112-1105 ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTION <br /> FAX(408)573-7771 ]LIMITS SET BY CALIFORNIA DHS AND <br /> TECH SERVICES,INC PHONE(408)573-0555 <br /> ❑ EPA ❑ RWQCB REGION <br /> ❑ <br /> CHAIN OF LIAMi <br /> cn ❑ OTHERDO <br /> / f1 l <br /> CLIENT w <br /> SPECIAL INSTRUCTIONS <br /> E uiva- Karen Pe a a <br /> SITE 4315 Waterloo o � Send invoice to Equiva <br /> x <br /> 00 <br /> Stockton, CA a H N Incident# 98996183 <br /> °O 00 ; Send report to Blaine Tech Services, Inc <br /> MATRIX CONTAINERS w IV"C'1 <br /> "G1 <br /> SAMPLE I D DATE TIME cn TOTAL Q ADD'L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> JkMN � w <br /> I <br /> SAMPLING JDATE ITIME SAMPLINGRESULTS NEEDED <br /> COMPLETED PERFORMED BY NO LATER THAN <br /> RELEASED 9Y I DATE eb, ITIMERECEIVE�/ TIME r, <br /> RELEASED BY DATE ITIME RECEIVED BY PATE TIME <br /> Z150 � 7 3 / 3i <br /> RELEASED BY JDATE ITIME RECEIVED DATE ITIME <br /> O <br /> SHIPPED VIA DATE SENT TIME SENT COOLER# <br />
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