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ARCHIVED REPORTS_XR0010155
Environmental Health - Public
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EHD Program Facility Records by Street Name
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SHAW
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1500
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3500 - Local Oversight Program
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PR0545688
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ARCHIVED REPORTS_XR0010155
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Last modified
5/21/2020 3:28:19 PM
Creation date
5/21/2020 10:14:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010155
RECORD_ID
PR0545688
PE
3528
FACILITY_ID
FA0003634
FACILITY_NAME
CANTEEN CORPORATION
STREET_NUMBER
1500
Direction
N
STREET_NAME
SHAW
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14326008
CURRENT_STATUS
02
SITE_LOCATION
1500 N SHAW RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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LSauers
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EHD - Public
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M1111 Im <br /> atn l Analytical Inc. Page i� 1 <br /> NI�c � y AIN-OF-CUSTODY RECORD <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> WorkOrder 0205145 <br /> (925)799-1620 <br /> Client <br /> Advanced GeoEnvsronmental TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br />� Stockton, CA 95215 <br /> ProlectNo Canteen Corp <br /> 10-May-02 <br /> PO <br /> Requested Tests <br /> Sample ID ClientSamplD Matrix Collection Date Bottle 80218/8015 5W82tiDB <br /> 0205145-017 MW13b1050902 Water 5!9102 3 50 00 PM A B <br /> I <br /> i <br /> Comments <br /> Date1T>Ime Date/Time <br /> Relutquislied by' _ Received by <br /> Relitiquisbed by Received by <br /> Relinquished by Received by <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 /> Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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