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ARCHIVED REPORTS XR0007253
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 XR0007253
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Entry Properties
Last modified
9/5/2019 11:44:46 AM
Creation date
9/5/2019 11:38:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007253
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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ATG ASSOCOES INC <br /> CHAIN OF CUSTODY <br /> Project Information Report To Samples Submitted To <br /> Project No o5 q. I L/$X5, O C.`0 1 Consultant ATC Associates Inc Laboratory Argon Labs <br /> Project Title Bo rz-a irtio 'Pq-t9?&1rA„y Address 1117 Lone Palm Avenue Suite B Address 3037 Slh Street <br /> Location Modesto,California 95351 Ceres CA 95307 <br /> Contact �1e,21.- e— IWOV73e—y Contact rTl fC�ft�c C <br /> Sampler s Name Ale-)( <br /> e-)( 10 Phone (209)579 2221 Phone <br /> !'r (209)5111 9200 <br /> (print) Fax (209)579 2225 Fax (209}581-9282 <br /> Sampler's Signature Bili To Date Results Required <br /> hf� � Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Flour 48 Hour Standard Special <br /> (5 Day) (ib Day) q ca <br /> m [7 <br /> Lu <br /> m % <br /> 7 <br /> til m Q LL m <br /> O m [0 J <br /> m m <br /> F a w n h O COMMENTS <br /> Sample ID Date Time !R Containers Matrix Preservative <br /> n 0oq 083.3 &L(AJ N L ICe- <br /> ' <br /> Relinquished By Date, Time y Date Time SPECIAL INSTRUCTIONS 51rb,AJ -e— a <br /> i-L-& /& q5 in A,�4-, <br /> Relinquished By Date Time Received By bate Time <br /> Relrnqutshed By Date Time Received By Date Time <br />
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