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ARCHIVED REPORTS_XR0002937
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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3202
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3500 - Local Oversight Program
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PR0545250
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ARCHIVED REPORTS_XR0002937
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Entry Properties
Last modified
1/30/2020 5:48:32 PM
Creation date
1/30/2020 4:09:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002937
RECORD_ID
PR0545250
PE
3528
FACILITY_ID
FA0001817
FACILITY_NAME
7-ELEVEN INC #35355
STREET_NUMBER
3202
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95209
CURRENT_STATUS
02
SITE_LOCATION
3202 W Hammer Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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i i <br /> mi <br /> CHAIN OF CUSTODY Pageof T <br /> CONSULTANTS NMMW CONSULTANTS ADDRESS <br /> Blaine Tech SeTviC,es,Inc 1680 R ers Ave ,San Jose CA 95112 ti <br /> BP SITE NUMBER GLOBAI.iD BP SITE!FACILITY ADDRESS CDNSULTANT PROJECT NUMBER � <br /> 11193 ITD607700612 3202 W Hammer Lane,Stockton p Z p <br /> CONSULTANT PROJECT MANAGER PHOFTE NUMBER FAX NUMBER CONSULTANT CONTRACT NUMBER <br /> Cady Magyar 408}573-0555 x 221 (40B)573-7771 J966618 <br /> BP CONTACT SP ADDRESS PHONE NUMBER FAX NO <br /> Stott Hooton 295 SW 41st Sheet, Suite N Renton WA 425 251-0689 425 2.51-0736 <br /> LAB CONTACT LABORATORY ADDRESS PHONE NUMBER FAX NO <br /> Face-Paula Ko' a 900 Gemini Ave ,Houston,T-X 77056 28i)48&1810 281 488-4661 <br /> $P CONTACT FTEOUES7TNt3 RUSH TAT{Rmi BP Crndatt Name) RUST#R>aLwrED OF 9"M Cert Cm-ad Name} DATF- Mid SHI IPMENT DATE SHIP MI?NT METHOD _A <br /> TAT ❑ 24 HOURS ❑ 48 HOURS El72 HOURS U'Standard T or 14 Days ANALYSIS REQU FRED 'MU <br /> NUMBER -� <br /> c*7 <br /> c7 <br /> CONTAIhtLTt5 PRESSWATIVE <br /> cn <br /> m <br /> Lo <br /> SAMPLE DESCRIPTION ouuE~TTON COLLECTION MATRIX <br /> DATE TIME 5011..11NATERNo TYPE LAB ,a COMMENTS <br /> (VOL) SAMPLE ty fa <br /> + cn <br /> 0 <br /> 4, . <br /> m <br /> _a <br /> W <br /> SAMPLED aY(P4ease PrhN Name) SAWLED 8Y S ADOmOMAL COMMENTS <br /> RELMOUISHED BY I AFFLUATION AC BYIAFRLIATIDN {Pant <br /> {Pr artNanrelSkJnahue} GATE TII� Nam Isi�raa") DATE TIME <br /> .-0 <br /> W <br />
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