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ARCHIVED REPORTS_XR0002987
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_XR0002987
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Entry Properties
Last modified
1/30/2020 7:25:44 PM
Creation date
1/30/2020 4:53:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002987
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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�' 1053 <br /> i ! <br /> CHAIN OF CUSTODY No. 118 G 8 2 <br /> C014SULTAIJI S NAME CONSULTAW S ADDRESS <br /> j3jRJR jeci 5ervires. In� 1680 fingers ke Seta Jose CA 95112 <br /> 13P WE NUMBER BP SITE/FACILITY Allori 5 CONSr PIloJEC r 1r TUMBEII <br /> 11193 3202 W Hamer Lane, Stockton 1 <br /> CONSULTANT PROJECT MANGEn PIIOtJENUMBER TAXHUMBE11 COIISULIANI C011111AC1 II01AI3Ffl <br /> lc✓ At,4- /-aL--C—(4Q8)573-0555 X218 Ll.()8 3-7771 <br /> BP co"T cr BP ADDRESS - PHONE NUMBER rAx Na <br /> Scott Hooton 295 SW 41st_SL.-I ReaLon .NA 425 251-0689 --(625)251-0736 <br /> - <br /> LAB CONTACT LABORATORY ADDRESS 1'I 101 1E NUMBER FAY1110 <br /> SSS est P.U Bax 2080.L III 1ous Long 'IAC 800 969-6775 Z!3)660��975 <br /> BP CONTACT TIEOLIESTING RUSK TAT(Punt BP Cunlacl Name) nUSli REOUEsI ED OT(Prllll CBnswian!Conlac<Name) DAI EMME SI IIPMEN T OAT E SI lIPMEN I ME I I IOD <br /> ❑ ❑ ❑ d y nolo jl'I 5II 72,X L' 2� ,� <br /> TAT 24 Hours 49 Moura 72 Houts Sletldatd 7 of 14 Das ANALYSIS nEQUIRED <br /> CUIJIAINETIS 1111BUIVAIK <br /> SAMPLE iJESCTItPTIOhI GULLE011011 CULLEU11011 MAMIX CDMMEI l f 5 <br /> UAIE 1IME SUILMAtEll IJO -YPE LAB <br /> (VOL) SAMPLE <br /> B In 55IV I <br /> �.o.' r� <br /> q U:35 x <br /> � I=5 Z X � <br /> SAMPLED BY Please P1 lilt 11ame) SAMPLED IUre) ADDI IIDIIAL COMMEH f 5 <br /> RELINCI01514ED BY 1 AFFILIATION ACCEPTED 13Y/AFFILIAN DATE TIME <br /> f II (PrIM Name 1 Slgnalure) b/Al E TIME (P0111 Name/SlgnelUl0) <br /> iLA <br /> CLV 18722 A 12MTI <br /> 1,9E150 DISTnIBUtlOr1 W1111E On1O111AL(Willi DArAJ YELt0W Br 1`11,11( Tn13 BLUE MISULIA111FIELDSrA1T <br />
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