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3500 - Local Oversight Program
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PR0545678
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Entry Properties
Last modified
5/20/2020 11:34:32 AM
Creation date
5/20/2020 11:22:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545678
PE
3528
FACILITY_ID
FA0005843
FACILITY_NAME
MASONITE CORPORATION
STREET_NUMBER
433
Direction
W
STREET_NAME
SCOTTS
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
14704044
CURRENT_STATUS
02
SITE_LOCATION
433 W SCOTTS AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Enviro-Chem, Inc. Laboratories Turnarcund Time <br /> 1214 E. Lexington Avenue, 0 same Day '» Misc. <br /> 0 24 Hours � � <br /> Pomona, CA 91766 $Hours <br /> Tei (909) 590-5905 Fax: o�2 Hours z <br /> (909) 590-5907 0 1 week(s(andard) Q o ,, <br /> CA-DHS ELAP CERTIFICATE# 9555 Other: z <br /> SAMPLE iDLAB ID SAMPLING Y a L; <br /> DATE TIME <br /> z a Analysis Required cornnnENrs <br /> 0 <br /> r <br /> x <br /> • _ 4 <br /> X <br /> X <br /> -� --3 <br /> Company Name; X A <br /> L 1� NC Project Contact: <br /> r) { ler'•r Or. <br /> to e: <br /> Address: 306 C <br /> �...P Tel; � �„� _ �l� Protec amel <br /> CitylStatelZip: -___ S/6co^ C-ltM C'i E/Z <br /> Relinquish 0 Fax: !� �I <br /> Received by- <br /> Relinquished <br /> Relinquished by: Dale&Time: �y;4, 'nstructions far Sample Storage After Analysis: <br /> Received by; ,� <br /> OD' <br /> Relinquished bye spose of 0 Return to Client 0 Store(30 Days) <br /> Dat <br /> Received by: <br /> Date <br /> n.fo- <br /> b/f�� CHAIN Off' CU Y RECORD &Time: 0 other- <br /> wHiTF 1-1TH c4T,'oi F."'r 11-'11)11 I111T <br />
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