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ARCHIVED REPORTS XR0007246
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 XR0007246
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Entry Properties
Last modified
9/5/2019 11:48:52 AM
Creation date
9/5/2019 11:35:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007246
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
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EHD - Public
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ATC ASSCVATES, INC , <br /> CHAIN OF CUSTODY <br /> Protect Information Report To Samples Su79�53017 <br /> To <br /> Project No $ , I $ff5, crvr�f Consultant ATC Associates Inc Laboratory Argon Lads <br /> Project Title �U IA"a P,- p a✓ Address 1117 Lone Palm Avenue Suite B Address 3037 5Ih Street <br /> Location Modesto CaUfornia 95351 Ceres CA 54,,�k4b", CA Contact Contact Je.,Nh¢ � <br /> Sampler's Name ` Phone (209)579 2221 Phone (209)5B1 9280 <br /> t ir, l�u+�dc�✓� Fax (209)579 2225 Fax (209)581 9282 <br /> (pnnt) <br /> Bill To Dale Results Required <br /> Samplers Signature <br /> Client Same Date Repoli Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (5 Day) (10 Day) Le <br /> d <br /> ❑ ❑ ❑ ❑ _ <br /> c � <br /> of L1 S o o J <br /> d d W N N 0 COMMENTS <br /> Preservative <br /> Sample ID Date Time #Containers Matrix <br /> nw b� I 15 S� 4 ✓ �r <br /> nwz 1545 4- <br /> r <br /> MW 3 1630 <br />� D���-�L���I �w 1624 4 ✓ f�rr <br /> JI- <br /> ISI ' ly��,l� �1'� � � ✓ l�I <br /> Relinquishe Date Time Received By SPveC(I�AXLyINSTRUCTIONS <br /> TRUCT�aI.ONrS rJ C�Q= <br /> f <br /> " j1 <br /> �l�cr3 13�Sv T13A CD3 2 DICA <br /> Relinquished By Date Time Received By !]ata Time D f r r <br /> Relinquished By Date Time Received By <br /> Date Time P.yiri�C <br /> 6-1.W D: TC9 033(0£M <br />
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