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ARCHIVED REPORTS_XR0005400
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3440
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3500 - Local Oversight Program
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PR0545495
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ARCHIVED REPORTS_XR0005400
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Last modified
3/11/2020 8:51:44 AM
Creation date
3/10/2020 4:38:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005400
RECORD_ID
PR0545495
PE
3528
FACILITY_ID
FA0006423
FACILITY_NAME
STOCKTON MOBIL 2
STREET_NUMBER
3440
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
3440 E MAIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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uwamar bw. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> Beacon Station No. Sampler(Print None) Date Form No. <br /> ! ANALYSES of � <br /> Projed No. Sampler(Signalue) <br /> Projml owft Affiliation = <br /> i f� T <br /> fiL L.Lr�'3 Yl L� L�W: Yl-.l.-.i <br /> 4 <br /> Sainole NoAdentification Date Time Lab No. m I Z61 REMARKS <br /> -qq vs <br /> mix F131r. <br /> data l <br /> Rellrquished by:(Signature Affiliation) Date Time Recei by S' natu i i _ Date Time <br /> Recti (Si r e Time R :(S' na io ate Time <br /> f <br /> ui y: 'gratur a i Date lime I Received by:( re/Atiitiation) Date imee <br /> �wv /S <br /> Report To: C ff i Bi i to: <br /> L.1 525 West Third Street <br /> cJ Hanford,CA 93 ++ <br /> Aitention: �_r� al 1Tf; iPr�_�Ca� <br /> WHITE:Return to Client with Report YELLOW:Laboratory Copr PINK:Originator Gopy <br />
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