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ARCHIVED REPORTS_XR0002894
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_XR0002894
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Entry Properties
Last modified
1/31/2020 3:18:50 PM
Creation date
1/31/2020 1:51:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002894
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
Tags
EHD - Public
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MMMMMMMM r »� <br /> 680 Ches ake Drive• Redwood City, CA 94063• (415) 364-9600 FAX(41 4-9233 <br /> .a <br /> E6ZUOlA ANALYTICAL ❑ 819 West Striker Ave • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> wo CHAIN OF CUSTODY ❑ 1900 Bates Ave , Suite LM • Concord, CA 94520 • (510) 686-9600 FAX(510) 686-9689 <br /> Company Name f-,S �ArmiqAez <br /> Project Name <Zv <br /> Address 4,2 Billing Address ( d ddferent) <br /> Cjty rfAState Zip Code O�46 <br /> Tele hone 10) 440 -5304> FAX v; ���'?-ZG� PD # m <br /> U <br /> Re rt To �N, Sam ler QC Data Level A fftmiw) ❑ Level B ❑ Level C ❑ Level D <br /> Turnaround 10 Working Days ❑ 3 Working Days ❑ 2 -8 Hours ❑ Drinking Water JAnalyses Requested a. <br /> Ttme• ❑ 7 Working Days ❑ 2 Working Days �u(ry L) Waste Water <br /> Ell Working Days ❑ 24 Hours IN%3 ❑ Other �p <br /> Client Date/Time Matrix #of Cont Sequoia's <br /> Sample i D Sampled Desc Cont Type Sample# , Comments <br /> HV of <br /> Cr <br /> 2WW -Ml 4424 144 X <br /> 3MW--2 <br /> v <br /> 4 _ Cj (PIT I <br /> I[2�4 X I <br /> 7 0 <br /> Cr <br /> m <br /> B � <br /> m <br /> 9 <br /> 10 <br /> Relinquished By Date 'L Timej2,, 5E Received By --' ►�t�- Date C-221A ime <br /> Relinquished By "�''� w "\,- Date 1l22_1�Time <br /> Received By Date Time <br /> Relin ulshed B <br /> Date Time Received B Labv�m Date &4a/%e I q 6D <br /> I <br /> worrl gwnlne Rnrnivnrl in r;nnri f nnrjoinn?1KYac O Nn 1Snmp1Ps on lce?eVYes O No Method of Shipment Page_of <br />
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