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ARCHIVED REPORTS_XR0003967
Environmental Health - Public
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EHD Program Facility Records by Street Name
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L
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LOCKEFORD
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429
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3500 - Local Oversight Program
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PR0545394
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ARCHIVED REPORTS_XR0003967
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Entry Properties
Last modified
3/5/2020 2:56:02 PM
Creation date
3/5/2020 2:19:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003967
RECORD_ID
PR0545394
PE
3528
FACILITY_ID
FA0005372
FACILITY_NAME
MAR-VAL MARKET*
STREET_NUMBER
429
Direction
W
STREET_NAME
LOCKEFORD
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
429 W LOCKEFORD ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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L� GTEJD CONCORD CA 93520 ND ANALYSIS REQUEST..rvtt+rwt.raX 1 i(510) 685-7852 y' <br /> INVIAONMFNI INC. ( ) ti•. ��1 � � 1' ; <br /> ® t.leo+aAropire. e 800 423-7143 _ •"^a'• r° �F c' <br /> npany Name: Phone H: 1ML' <br /> f ❑ <br /> FAX#: �6' '�^----�—� ❑ _ ❑ <br /> -n an Address: Site location: .1 0 <br /> D Ked t� El04 . L ° <br /> J <br /> �jact Manager Client Project ID: (N) cj Q �{ — 601 - 65- w° "' LJ <br /> � ± ° N a) <br /> �j rn rT rn CO 2 U) a0 <br /> NAME d sem►( � mi c5 0 0 ❑ L� U z z ❑ ? ° ❑ <br /> test that the proper field sampling Sample Name(Print): a ° —' �' ° e ❑ ❑ <br /> cedures were used during the collection p { ) I ; ° o 0 � -8 ❑ " '' J <br /> 1� © o p 0. N a a 4 C o m �j ❑ <br /> hese samples. <br /> `__' m m ¢ ❑ �! p a O �❑ <br /> LL <br /> Matrix pteseMethved Sampling $ y3. a ❑ p w w Q ❑ ° D ❑ <br /> Field GTEL ❑ _ ❑ a 0. ° <br /> Sample Lab # 0 ❑ ❑ ° Q <br /> ID Lab use only � J � o o o � w " y $ � n�, < a <br /> a O J d h U Z g �a 4 i. % — Ll a aL a IQii W w w w Fes- tail U <br /> 3 rn a rn a o z x x o^o F co m a x o w w w w <br /> til✓J - �ti Z t 1`� <br /> 4 k <br /> 1 <br /> +It+H <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> "o tly 04 hal ❑ QTEL Conlact <br /> .11 1!19c1(4B hr) ❑ ouote/Contract N <br /> pljvr Fl36 DaP?fip JI Conflrmallon N <br /> __ SPECIAL REPORTING REQUIREMENTS Lab Use Only Loi N Storage Location,, <br /> ,5 rAie Deye ---O <br /> QA!OC LEVEL <br /> vc ❑ rt P ❑ OTHER FAX❑ Work Order H <br /> Relinquished by Sampler: Date Time Received by: <br /> CUSTODY Relinquished by: ate T irfie Received by: <br /> RECORD Relinquished by: Dale Time Received by Laboratory: <br /> 32--, <br />
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