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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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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_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
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SJGOV\sballwahn
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EHD - Public
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OQUOIA ANALYTICAL U 680 Chesapeake Drive • Redwood City, CA 94063 • (650) 364-9600 1-AA (bbl)) ,104-yOZJJ <br /> iz_ U 819 Striker Ave•te 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-qa <br /> 404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988 9600 FAX (925) 988-967 <br /> CHAIN OF CUSTODY WO >(404 <br /> 1455 McDowell Blvd North, Suite D - Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> u *� 1 _ <br /> Company Name GET T L F-R-- 1 IV ! C. r Project Name Q c C `1 3 S C <br /> Mailing Address Cji j Q�LQ C`�-� Billing Address (if different) 98124 -98 <br /> City ip vL b U State �, Zip Code q 5i' i © S C0 P R0 s SC r Mf : 'DA\19 CfIlrWL L <br /> PO # MIMTelephone oj 1jr , —V1SSJFAX # S511-1 - Q <br /> Report To �QUG- Sampler AIG K6VOP4 <br /> QC Data U Level D (Standard) U Level C U Level B ❑ Level A <br /> Turnaround ❑ 10 Working Days U 3 Working Days X2 -8 Hours U Drinking Water Analyses Requested a <br /> Time. ❑ 7 Working Days ❑2 Working Days U Waste Water <br /> ❑ 5 Working Days U 24 Hours U Other GQ <br /> Client Date/Time Matrix # of Cont Sequoia's �� Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> p <br /> 1 rj0,L 1 81'.18 5 6 V V ✓ ✓ " <br /> c <br /> 8i2i85 v <br /> D� <br /> 2 <br /> U <br /> 3 D3 81,` 1858 V c <br /> D4 I 121859 ✓ <br /> 5 812186 Ll"' L,1 ✓ <br /> s c� 121861 <br /> P3 812186 <br /> 7 � <br /> 12186 <br /> 8 v <br /> U <br /> 812186 ✓ ✓ 1 <br /> 9 <br /> 10 <br /> Relinquished By�J�M ate Elm Received By Date Time <br /> Relinquished By Date Time7:— Received By Date Time <br /> Relinquished By Date Time Received By Lal? <TjqDate 4Time f <br /> Were Samples Received in Good Condition? >(Yes U No Samples on Ice? Yes U No Method of Shipment Page—of —- <br /> i,+ f4+gf N <br />
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