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ARCHIVED REPORTS_XR0002893
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_XR0002893
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Entry Properties
Last modified
1/31/2020 3:20:37 PM
Creation date
1/31/2020 1:50:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002893
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
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SJGOV\sballwahn
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EHD - Public
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E6?UOIA ANALYTICAL 680 Ch Bake Drive- Redwood Cdy, CA 94063 - (415) 364-9600 FAX(4064-9233 <br /> } ❑ 819 West Striker Ave - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY ❑ 1900 Bates Ave , Suite LMI •Concord, CA 94520 -(510) 686-9600 FAX (510) 686-9689 <br /> Company Name Qo S Prosect Name 1r�S?� ��— Fi 15 2 .1 47m <br /> Address ,�,Z, Billing Address ( if different) 55;,t..t-6 <br /> City ",0 lt, State CQ Zip Code 4 '3 <br /> Telephone Z) — O FAX 451 o P O # <br /> � ` U <br /> ,Report To I&h [kg-1.0t'i ISamDler QC Data Level A t mmirdl ❑ Level B ❑ Level C ❑ Level D <br /> Y <br /> Turnaround 10 Working Days ❑ 3 Working Days ❑ 2 -8 Hours ❑ Drinking Water lAnalyses Requested a <br /> Time, ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours 6)L1cyd"Zs-� ❑ Other <br /> Client Date/Time Matrix #of Cont Sequoia's �C)�►�1�� <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> Z <br /> � 0 W —olCr <br /> X r \ o <br /> 2 UW Z 3 <br /> 3 'L ` <br /> 4 <br /> 5 <br /> 6 <br /> 7 T <br /> 0 <br /> 8 W <br /> m <br /> 9 1/ 1 A I / JZ <br /> 10 <br /> Relinquished By Date Time ; Received ti L DateTime US <br /> Relinquished By4gm Dat Time •sC) Received By im <br /> Relinquished B6��������R�eceivedBabLZZLDate Fime <br /> Were Samples Received in Good Condition?I(Yes 0 No Samples on Ice? �Yes 13 No Method of Shipment Page j of <br />
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