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ARCHIVED REPORTS_XR0002876
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_XR0002876
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Entry Properties
Last modified
1/31/2020 3:08:04 PM
Creation date
1/31/2020 12:19:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002876
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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Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue, Suite E • Sunnyvale, CA 94086•Telephone: (408)735-1550(800)287-1799•Fax: (408)735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Client: C sSgO PrFE 5ouik-r( 131 <br /> Project ID: "_503.00- 3 LAB USE ONLY <br /> Address: {off �QPurchase Order#: <br /> WC-fls A tis;U� Sampler Company: Te ep ane <br /> � of Samples arrived chilled and intact: <br /> Contact: ��M l.a'rG1n�' ��FF SALA AM f�S`sat 4W � <br /> `"�� Yes No <br /> Telephone#: (Oas) trod— 5300 Special Instruction Comments <br /> Notes: <br /> Date Received: -LCI 00 e6 PIflR ZS 1,:02 <br /> Turn Around: <br /> Sample Information 2 <br /> Re uested Anal sis Q o '� <br /> by W �,, �r = <br /> Grab/ Date Time Sample � CL � <br /> Lab# Sample ID Com osite Matrix Collected Collected Pres. Container fiQ t Q V_ " Z) <br /> ria, M w 3 A86s— b Z 00 l Z o3 �� Y - � 5c <br /> `�° ¢ IL40 X k c X X <br /> oma - u� >< k k X X <br /> vvq , jl - t 4 I X X �( <br /> 10oX >C k X <br /> oo(o. �;�s i�1D X X k X, <br /> off ;- V607.5"rBy- <br /> x )( X ?C X x <br /> D°KMw-,9 1E x x <br /> Relmq.By: R � V <br /> ` Date TimeRelinq.By: RC� <br /> TimeRelinq/$y: Received B : D e <br /> Tim <br />
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