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ARCHIVED REPORTS_XR0002989
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HAMMER
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1612
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3500 - Local Oversight Program
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PR0545246
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ARCHIVED REPORTS_XR0002989
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Entry Properties
Last modified
1/30/2020 8:20:52 PM
Creation date
1/30/2020 3:11:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002989
RECORD_ID
PR0545246
PE
3528
FACILITY_ID
FA0003611
FACILITY_NAME
PARKWOODS GAS & FOOD
STREET_NUMBER
1612
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07728002
CURRENT_STATUS
02
SITE_LOCATION
1612 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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Chain of Custody * d fYsite T#=-0 ,:2p Ternp: �p <br /> ., by Project Name Station No,548-Month Atr Tut anttarin tTr-sits Tint; Tri: <br /> BP$UIGEhi C or o o: Retail <br /> BP taboratory Contract Number: Ailantle Rlahfield Companyietaarata ;calErems oiJe�, <br /> RequestedDueDate(mrdddlyy) / r tndS oed: �✓ D'asdian -SI <br /> Ti9ooF <br /> Send To: PnEI I FELCUir Ko.: 348Lab <br /> r—a <br /> Nmnt::sTL-sF feaaaataa) /( 12 Facie Adrdtsset 1612 W-Hu=Lauq Stockton 870 Oatcwa OaTcsIh.,Su300 <br /> labAddess: 1220 Lana ID Na. ARCO5-48 ,CA 93$33PSeaaantaq Cd 94366 ita La!/I YNO EDD <br /> itaruiat3loLelfD#: T0607TQ6134 Project No_: 38466402.00000 <br /> Phf: Afasit&Sall aur fOEHf FM Contact: Paul Ic eIrMa :916-679-2000Ifi79-2900 <br /> eie/Fax: 925.43419191423.4841096 P.O.Box 6549 PM; Verna Muth-916.679.2279 <br /> an e& cLcvrl: Leven Mm a,CA 94570 voiaaW: BP/OEM <br /> BF/C3E4f Acaoaa[Na.: e1elPax 925.799.88911925.299.4872 P/C1Efid Waris Release No:010917.0037 <br /> h Boma Order No: I4Ia4rla Preservatives Regaukd Anaiyds <br /> d <br /> Item San eB � . <br /> Nn <br /> e9crlptian A I.ahoratoryNo. s Sample Pohl LaAangand <br /> R. f Couintenis <br /> o � <br /> I a ' z M <br /> 1 0054ftARW i x t x x $ <br /> AW <br /> 2 00548 x 1 x x asp <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> AMti,,My mpat to: <br /> 7 .7 meq Bowland <br /> 8 <br /> 9 <br /> I4 <br /> S 9 Name _,g�g Zgd, uh6 / thanDaft, Tfaw 11 Aweptbd8y/.&MUA&m ontoShhMomf Icon <br /> S ler's C URS C � <br /> Date: e <br /> ShipwAnt Method: <br /> t Trackin No: p <br /> xiai Instr[tcttans: <br /> FOItIdy Seals In Plaee'Yca`No, Tanp Blank Yr, No_ Cooler Terq ratnrc on Receipt °F!C Tx!E' Bbmt YesTNO,____ <br /> Distn'buthm. VAite Copy-Laboratory I yaow Copy-BPIGE1d IFink Copy-Ca uaIIantlC[mtrsctor sP COC Rov.-3 t3l13103 <br />
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