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ARCHIVED REPORTS_XR0011075
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FREMONT
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1401
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3500 - Local Oversight Program
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PR0545145
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ARCHIVED REPORTS_XR0011075
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Entry Properties
Last modified
1/9/2020 11:33:47 AM
Creation date
1/9/2020 10:35:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011075
RECORD_ID
PR0545145
PE
3528
FACILITY_ID
FA0003820
FACILITY_NAME
VALLEY WHOLESALE DRUG
STREET_NUMBER
1401
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13525031
CURRENT_STATUS
02
SITE_LOCATION
1401 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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t,11AJLN CUSTODY RECORD <br /> 4SVJEL-TBCH GWTECHNICAL SUPPORT (!'L E PKINI) Lab. Analysis by _- <br /> 10624 OLIVE AYE. OAKDALE, CAL ORNIA 95361 FEiw <br /> OFFICE(209) 847-8757 �F'AX (x09)947-7744 _ RECORD �UF40M - - <br /> CLIENT 1 CONSULTANT: pht&j P.0 #11,VVOICE # <br /> • • � t.L�` ANALYSIS REQU£SM <br /> SITE SAM� <br /> MOWT I SITE NAME: (anti AND CRECMD ME&) re.cun <br /> (MdRI'!1 <br /> m m <br /> CIS <br /> Q <br /> mm: 11ki)1 ltd WM We Ty. ST" STAT& C, Inc <br /> CD <br /> ` ��� r w m <br /> L1 y�,��.I►: �.., �, z �r-= <br /> C134ca <br /> SAMPLI .� Al Wl��i � -5 uj <br /> H �W Cv V CC d <br /> SAMPLE L(JCADATE TIMEOF r�r� a aSAMPLE Cl Im '= o *- <br /> TION N +-'- s <br /> (JOENr 7C MM) Afi/8J1M17m BDfJX1AIM G1D]YTAlNL�S c)oAQosiJB in m m co y- MWARICS/ SPECIAL INSTRUCTIONS BELOW <br /> 1 — ,ON V>� <br /> zy �' 21 { <br /> )'i�hJu�1 <br /> 4) �I <br /> roiks <br /> 9) - <br /> 10 �A > L i d <br /> IL <br /> pUAQIEMYR11 ITV COPMRWNA >!URNAAl7UNDIVA& � <br /> • . J21 f-"}]yam RF.CFIYED COLD E IIYrA(1' I tES /� 1'10 1/ <br /> 11— <br /> 8Y M I i71Mt#' ED 84�maSw.An�s, Al'E/UPI it� THFS�ItY At L�£S USFA 1 ES//{/1 �!O 1 <br /> "611 SFAIS 11r.9 71 ,11 W1 11A <br /> AfR SURBLEC IN 1 OA S I Y$`+ { Tr)J.01 fJvl: <br /> INQ(ASII wTbi ITL/TIII E FJYI*DR{ mcaurr.a A1%ITIME <br /> TARN Aft/)rIAD TIME C!lPCA'd,VF' �jv <br /> }XJNQu5U8D IrkATE/PSI ECFIf'F,UR1 1�18UAATOR1 a.v.fnwa.ouwro� ATL/TIM£ 'j IIUIR ut HOUR11i j DAl i } <br /> • C <br /> NOTE LAHURAT'ORY SAMPLE ARCHIVING WILL 8E 30 DAYS FROM ME DATE SAMPLE WAS CoLLECTED,i.: LESS QTRER A10 AS9,( F.S1ENTS ARE MADL <br /> PLEASE RBLE rHANK YOp DEL TECH FORM COC. <br /> Pink - !^tela Copy I White & YCIIOw 'In 1 aboutclry wlih Salllpics I Yellow Rcturn to Client wills RCSUIrti <br />
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