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ARCHIVED REPORTS_XR0005648
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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18846
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3500 - Local Oversight Program
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PR0545627
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ARCHIVED REPORTS_XR0005648
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Entry Properties
Last modified
11/19/2024 1:50:30 PM
Creation date
4/28/2020 4:43:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005648
RECORD_ID
PR0545627
PE
3528
FACILITY_ID
FA0003883
FACILITY_NAME
VICTOR FINE FOODS
STREET_NUMBER
18846
Direction
N
STREET_NAME
STATE ROUTE 99
City
LODI
Zip
95240
APN
01709051
CURRENT_STATUS
02
SITE_LOCATION
18846 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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MAIN OF CUSTODY RECORD IIT°: SHERWOOD LABS <br /> P.O. BOX 937 <br /> Sherwood 8071 N. Lander Avenue HILMAR, CA 95324 <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention:VICKI RUBIS Phone.209-667-525$ Page of <br /> C O R P O R A T I O N FAX (209) 667-2581 <br /> Job Number P.O.# Project Name <br /> FOOTHILL VICTOR MEATS <br /> Samplers:(Signature) Site Address <br /> FRONTAGE ROAD <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTF/DAY/YR) (HOUR/MIN) OF (GRAB MATRIX � <br /> - CONTAINERS COMPOSITE) REMARKS <br /> -7 <br /> Relinquished B (Signature) Date/Time Received By:(Signature) Datefrime <br /> q , r( g _ TURNAROUND TIME <br /> Aie inquished By:(Signature) DateRme f J Det Receiv d By:(Signa._re) ) Date/ nrie 24 HOUR ❑ <br /> � �. ✓. /„ z � r 48 HOUR 0 <br /> R41inquished By:(Signature) Ddierrinia Recei ed ey:(Signature) DateTme UAY <br /> DISTRIBUTION: Original-Accompanies Shipment 'Canary Coov:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days atter results are reported unless other arrangements are made. <br />
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