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ARCHIVED REPORTS_XR0002993
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_XR0002993
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Entry Properties
Last modified
1/30/2020 8:16:06 PM
Creation date
1/30/2020 3:17:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002993
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 Record- site,' 'Ema: o9yo UnIP: <br /> • s= Project Name statin N S4g ff:ito Pima: ` <br /> BP BUIGEM C portfolio: 5 t�ona2tions: / 'e Tamp: <br /> Gi <br /> BP Laboraton,Contract Number; lctearvlo iu15«nts; <br /> Date: Requested Due Date: 93•' �n15 Direction: <br /> Send T0: 13PIGEM Facili No.: 548 ,r _ Elqh -, <br /> •msuttanE'Oonlractoi; uimg <br /> r.ab Name: 5«u_o;x Bl'1GNbS FQ'; i •Addtr•ss: 1612_ W.Ilunmer Law,Stodreiss;28791(Tina Orks Dr., 3QD <br /> [.a],Address: Site M No. ARCO 548 aaar t%CA 95933 <br /> 885ImIs Driw tap nuilkt)l): N[iEDF <br /> htor an Hill,CA 95037 1111kaia COmbsl 1U ti: 'F06077DO174 SU16nt 1'sv'octNo.: 38466082.00327 <br /> Llb PM! i.aton a Pelt RAIUF.Ai PM Coma[[- Paul Sv ]e _ IkaatTeldI74m 916-67924W67929W <br /> TtlelF&re 408-776-96001408-782 08 Address: P_O-Mx 6549 rptlS�4kraFistRo '1 -&QC LoW. tx%,cl 1 More ga.CA 94570 invoices,td; Congrl(.nt <br /> H1'Vi.Atrmoat No.: Lelcr2�xx: 925.29911591/921299.8972RPICI;I-iS Wak Rsleasc No; <br /> Lab Bottla Older Nw. Malas; Pnssrfstlsta _ 1Ztgutated 1lnalS is <br /> x - <br /> 1l�au 5atnple i]ostHptlwn Tltuato <br /> :e LaboratoryTro. nt l ttl#,ang Sold <br /> M0. 4 CtllmnrrtlS <br /> C 0 !r <br /> as a �, w <br /> 1 ' INVTOUPiAirt 143 X ji <br /> X X <br /> 2 KV GatAir X X X <br /> 3 FF Air S X X X <br /> 4 _ <br /> .5 7 —71 <br /> g]OSam ]et's]jemc: Ott emadshaw k7rGngat lirng trcep[tdEt /!uT'Roes !e Irnr <br /> Sara let's Cavi .URS!? ration _ t <br /> Shipment Date or <br /> Shi meal Method: 2 �— <br /> Shipment Tracking No: / o 291 , <br /> c•cral Tnsiruttlotu: <br /> N. <br /> Custody Sear In Pitt Yes TIo Tcm ratora ISlank Yes Nn Cooler Tttripesatuis Osi Recalpt 1elc Trip Blank Yes No ?Q <br /> Distribution: White Copy-Laborraloiy I Yel to%vCcpy-EPIGEM I Pint:Copy-Consul to 140011tsactor - lip cot•x.r,1 310)1 <br />
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