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ARCHIVED REPORTS XR0007241
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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6732
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3500 - Local Oversight Program
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PR0544809
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ARCHIVED REPORTS XR0007241
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Entry Properties
Last modified
9/5/2019 11:46:10 AM
Creation date
9/5/2019 11:34:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007241
RECORD_ID
PR0544809
PE
3526
FACILITY_ID
FA0004030
FACILITY_NAME
THREE PALMS GROCERY
STREET_NUMBER
6732
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10110001
CURRENT_STATUS
02
SITE_LOCATION
6732 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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ATC ASSD TES, INC <br /> CHAIN OF CUSTODY <br /> lProject Intonation Report To Samples Submitted To <br /> f Project No S y,I`198 r vp o i Consultant ATC Associates Inc Laboratory Argon Lahs <br /> ProjectTdie 6•2tawo ifreloerJy Address 1117 Lone Palm Avenue Suite Address 30375th Street <br /> Location Modesto California 95351 Ceres CA 95307 <br /> Contact Contact <br /> Sampler's Name ,}` ! Phone (209)579-2221 Phone (209)581 9260 <br /> (Print) /(Ju�yIG� C h r,s 7tYY1 uYt Fax (209)579 2225 Fax (209)581 9282 <br /> Sampler's Signature Bill To Date Results Required <br /> /J/ � � Client Same IWO Data Report Required/tom /G Address Op <br /> v <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special ^1 <br /> (5 Day) (10 Day) 0 W <br /> ❑ ❑ E] El ® rQ a <br /> Lu <br /> Gro m 4 LL 1 <br /> 0 9 x M ,, m <br /> X s a ; s o S <br /> COMMENTS <br /> Sample ID Date Time #Containers Matrix Preservative <br /> 0177- 1 wY0 03;16y 115 & y 6w X SCI , re <br /> Te Pont 4inol 4715 :1 u! k }1 C► }t e <br /> (,P I — 9! 037s61 1141 y 6IA/ Y K He J i ie f <br /> Tr, 0 31So`1 0650 ;,Z W X y C l c e <br /> L PT 1 S91 039901 1 1 71 ("r- <br /> ( PT <br /> XCPT ! SP oyqsy 10 3a 1 s of j x <br /> G Pd 51,5 03ADY 150; 1 X X <br /> G )3 S 0 3;0� 0130 Sol 1 <br /> 6Pa ��,n 03J5o� [21a5 ! soll ; c .c <br /> Gf1 31,5 03150'1 0 V30 ► S61, 1 <br /> G F1 12.0 63 21O 1030 <br /> (10 35 S b'3IYOV f 12-7 C Se, i�Ce <br /> Relinquished By Date 0 Time Race ey r Date Time SPECIAL INSTRUCTIONS <br /> U 15 <br /> 1 LA® <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Date Time <br />
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