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ARCHIVED REPORTS_XR0002856
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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3555
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3500 - Local Oversight Program
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PR0545252
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ARCHIVED REPORTS_XR0002856
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Entry Properties
Last modified
1/31/2020 3:37:57 PM
Creation date
1/31/2020 11:56:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002856
RECORD_ID
PR0545252
PE
3528
FACILITY_ID
FA0002232
FACILITY_NAME
QUIK STOP MARKET #3132*
STREET_NUMBER
3555
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
071-180-20
CURRENT_STATUS
02
SITE_LOCATION
3555 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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t <br /> VWII6602 Owens Drive, Suite 100 <br /> Pleasanton,CA 94588 CHAIN 4F CUSTODYTORM, <br /> Main Line: (925)460-5300 <br /> A S S p C 1 A T E $ I N C . Facsimile: (925)463-2559 Turnaround L010 day _3 day 2-8 hr <br /> Project Name: ;� -}np i32 Client: t 4, e �4((LEZ Time: _7 day _2 day other <br /> , <br /> Project Number: l b -S0 05 — Task: (working days) _5 day 24 hr T �� <br /> Global I.D.: 0' Q®4 1 <br /> Project Address: S (A)Q. , o 1 d- 00 <br /> Laboratory: ML CW P� Contact:LqAnalyses Requested <br /> Lab Address/Phone: 1220 Q�.Xr��ni lanj7. IE- flt'1 ten.Cly __ a <br /> m <br /> ATC Project Manager: _ <br /> ATC PM Ph. Na.: 925 225 Emait:EI ISWer4 ii 75 @atc-enviro.com o M N !4 <br /> ATC Sampler: Phone:,{925)225--7c6t S ILU m � o o y <br /> W u 47 N O v m <br /> Sample Information Container Information Qin CD s :° a o <br /> Matrix Field Pt.I.D. �- -- N N w F cm <br /> q O v <br /> No. Type d ' Check if same as € a = O O v a a m t <br /> ATC Sample ID Date /{Time sou wmr v„ 4 y�d/l�{7' _ Sample I.D. M ,� �a-. _ j d <br /> - 7r+ 4 n I•�'�.�� 1 �O� •lam+ <br /> W I-2- 1 <br /> G3:;tG <br /> N1t��1© ti►��o <br /> Additional Comments: �W <br /> lq MRM <br /> EDF Format <br /> Relinquished By: Date/Time: /'U- 1.2!rjrRCeceived By: Date/Time: ro.- -Dr/ <br /> Relinquished By: Date/Time: Received By: /�Y Date/Time: <br /> Relinquished By: Date/Time: Received By: Date/Time: <br /> Sample CaWkion.Good? Yes_ No_ On loe? Yes_No_ Cooler Temp Transpodation Method: Page_of <br /> White-Lab <br />
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