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ARCHIVED REPORTS_XR0002635
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HARLAN
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15600
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3500 - Local Oversight Program
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PR0545273
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ARCHIVED REPORTS_XR0002635
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Entry Properties
Last modified
2/3/2020 6:56:18 PM
Creation date
2/3/2020 11:27:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002635
RECORD_ID
PR0545273
PE
3528
FACILITY_ID
FA0000174
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15600
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620079
CURRENT_STATUS
02
SITE_LOCATION
15600 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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SunStar laboratories, Inc Chain of Custody Record <br /> 3002 Dow Ave, Ste 406 <br /> Tustin, CA 92780 A <br /> Phone (714)505-4010 Fax(714) 505-4028 <br /> Client_ C\J <br /> Date Page Of ` <br /> Addr Locaboo <br /> ess Phone Cq C) Fax Collector CUent Project P <br /> Project Manager <br /> Batch# ..S C/00 <br /> CD <br /> N CD <br /> m m <br /> to a ra U <br /> ryIm 43 o o p <br /> m <br /> 0 0 0 o a u�i u�i o 0 0 a <br /> gyp] # <br /> 0�0aD m CNO �O0 �O �O O <br /> Date Sample Container ¢ ¢ ¢ ¢ ¢ ¢ ¢ m <br /> o¢ <br /> CL o. a aa. ci- a Comments <br /> Sam le ID Sampled Time Type Type w <br /> LJ w w w w <br /> ll tt q5VQA <br /> Y IF Nn Fae p+ s>iGc.. <br /> D <br /> Vi <br /> 2. <br /> 2 <br /> Total ff of cantautiers Notes <br /> Chain of Custody seals Y/N/NA <br /> q ed by (signature) Datd 1 Time ' ecelved by(sl e) Date l Time Seals intact?Y/N/NA <br /> Received good conddionlcold <br /> Relinquished by (signature) Date 1 Time Received by (signature) Date 1 Time Turn around time <br /> Sample disalructions Disposal Q$2 Od each Retum to cllent _ Pickup <br /> imii l ff 4 <br />
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