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ARCHIVED REPORTS_XR0004995
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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MONTE DIABLO
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2650
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3500 - Local Oversight Program
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PR0545577
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ARCHIVED REPORTS_XR0004995
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Last modified
9/16/2020 12:26:32 AM
Creation date
3/19/2020 1:51:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004995
RECORD_ID
PR0545577
PE
3528
FACILITY_ID
FA0003836
FACILITY_NAME
LOCAL FOOD MARKET
STREET_NUMBER
2650
STREET_NAME
MONTE DIABLO
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
13311131
CURRENT_STATUS
02
SITE_LOCATION
2650 MONTE DIABLO AVE
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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McCam'Rell Analytical Inc. Page I of 1 <br /> _— 110 Second Avenue South,#137 INAIN-OF-CUSTODY RECORD <br /> Pacheco CA 94553-5560 <br /> (925)798-1620 WorkOrder 0309359 <br /> Client <br /> Advanced Geo Environmental, Inc TEL (209)467-1005 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Local Food Store Date Received 9119103 <br /> PO Date Panted 9119103 <br /> _ __ __ _Requested Tests mm� � — <br /> Sample ID ClientSamplD Matrix Collection Date Hold �� SW8015C 80216/8015 SW82fsoB T -s�- <br /> 0309359-001 - MW1 Water 9118!03 2 23 00 PM ❑ A B — A C <br /> C - �- - <br /> 0309359 002 MW2 Water 911 8103 2 04 0_0 PM _ B <br /> _ _ _ _ A C <br /> 0309359-003 L MW3 Water 9118103 1 27 00 PM ❑ B A C <br /> 0309359-004 L MW4 Water 9118103 2 47 00 PM ❑ 8 A C T -� <br /> 0309359-005 1 - MW5 _ Water 9118103 3 23 00 PM ❑ B A C <br /> i <br /> Prepared by- Marla Venegas <br /> Comments <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br />
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