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ARCHIVED REPORTS_XR0011298
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_XR0011298
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Entry Properties
Last modified
1/9/2020 11:38:22 AM
Creation date
1/9/2020 11:06:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011298
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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M ■r r � � r• �■ r � ■� r r � r r■r r <br /> CAIN OF CUSTODY RECORD i"To: SHERWOOD LABS <br /> P.O. BOX 937 <br /> anerw 807P.O1Box 937Lander Avenue HILMAR, CA 95324 <br /> Hilmar, California 95324 <br /> all abs (209) 667-5258 Attention:VICKI RUBIS Phone.209-667-5258 Page Of <br /> C O R P O R A T I O N FAX (209) 667-2581 <br /> Job Number P.O.# Project Names . <br /> Samplers:(Signature) Site Address1401 W. PREMONT <br /> SAMPLE LOCATION DATE TIME NUMBER TYPEOF (GRAB OR SAMPLE ,' ' <br /> (IDENTIFICATION) (MTWDAYNR) (HOUR/MIN) CONTAINERS COMPOSITE) MATRIX k ti REMARKS <br /> s F } <br /> f <br /> Relinquished By:(Signature) DateAme z,1�' L Received By:(Signature) Date/Time <br /> , 7 .. TURNAROUND TIME <br /> r f r ✓!�f �, 4 s.x s'; .1 x .r t:� f••c:..J, 'r .� <br /> Relinquished By.`(Signature) DatelTReceived By:Y-(Sonature) D`ate/Time 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By:(Signature) f DateMme Received By:(Signature) Dafemme 6 DAY <br /> DISTRIBUTION: Original-Accompanies Shipment Canary Cepv:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />
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