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ARCHIVED REPORTS_XR0011300
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_XR0011300
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Entry Properties
Last modified
1/9/2020 11:28:46 AM
Creation date
1/9/2020 11:07:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011300
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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I• M MM r <br /> A1N OF CUSTODY RECORD SHERWOOD LABS <br /> P.O. BOX 937 <br /> 71 N. Lander Avenue HILMAR, CA 95324 <br /> P.O. Box 937 <br /> Sherwood 80 <br /> Hilmar, California 95324 <br /> abs (209) 667-5258 Attention:VICKI HUBIS Phone:209-667-5258 PS a Of <br /> CORPORA T / ON FAX (209) 667-2581 9 <br /> Job NumberP.O.# Project Name ~'� <br /> GTI VALLEY r-IHf�Lt~SAA <br /> Samplers:(Signature) Site Address <br /> NUMBER TYPE <br /> SAMPLE LOCATION DATE TIME SAMPLE _ <br /> (IDENTIFICATION) {MFHIDAYlYR) {HOUR/MIN} OF (GRAB OR <br /> CONTAINERS COMPOSITE} MATRIX REMARKS <br /> 3 /i•t f <br /> u <br /> + t., <br /> F <br /> Relinquished By:(Signature) DaterFime Received By:(Signature) Date!flme <br /> ,11 ... TURNAROUND TIME <br /> t �. (' F .F 'r :'S � `'r3:�3 ',�';� � ,/° � "ea'',.=`7.: L'.,.-• `3 !��, 'r 1 �-�. <br /> Relinquished By:(Signature) DatelTme Roelved By:(Signature) DBte�me 24 HOUR ❑ <br /> F <br /> 48 HOUR ❑ <br /> Relinquished By:(Signature) Da(eRm; Received By:(Signature) Date/Time D <br /> DISTRIBUTION: Original-Accompanies Shipment Canary Coot:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />
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