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ARCHIVED REPORTS_XR0002988
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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_XR0002988
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Entry Properties
Last modified
1/30/2020 7:36:51 PM
Creation date
1/30/2020 4:53:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002988
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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WUOIA ANALYTICAL U 680 Chesapeake • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364- <br /> ❑ 819 Striker Ave , 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0 <br /> iz_ ' <br /> � CHAIN OF CUSTODY )<404 N Wiget Lane•Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> Lt 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 r <br /> Company Name GVETTL Epi FLWk N WC Project Name TOSCO q6 # M _..CS TO Q <br /> Mailing Address (;q��q S j e-r.rQ Ct t is ut-Lt_ J- Billing Address (if different) f 1 � <br /> City State C Zip Code S68 ToscoFROSECT MAN CTO ; bF—avc6MILLE- <br /> Telephone !°��j 5 5 FAX # �J " 1. OU PO # ),O a WEST RAMMVIR LANE a <br /> ReportTo Sampler C-,:VQ OC Data evel D (Standard) ❑ Level C 0 Level B ❑ Level A U <br /> Tumaround O 10 Working Days U 3 Working Days U 2 -8 Hours U Drinking Water Analyses Requested <br /> Time ❑ 7 Working Days U 2 Working Days U Waste Water <br /> ❑ 5 Working Days X24 Hours Other <br /> Client Date/Time Matrix # of Cant LSequoia'sComments <br /> Sample I D Sampled Desc Cont Typeple # <br /> CompA M/11/19SOIL 4 <br /> 2 Cows <br /> 3 Corn C 4 s1r o . �/' ✓ � a <br /> 4 COM D 4- 181-of)tzs 1/ ✓ ✓ ✓ <br /> cowtp 1.-< o 1/ ✓ ✓ <br /> 6 <br /> 7 0 <br /> Z) <br /> O' <br /> 8 ) <br /> N <br /> 9 <br /> 110 it 4 <br /> Relinquished By I 1 ate10A ime Received By Date Time <br /> Retmquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Lab Date / Time c? <br /> Were Samples Received in Good Condition9 Kies U No Samples on Ice? yes U No Method of Shipment ____ Page—of_ <br />
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