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ARCHIVED REPORTS_XR0010336 (2)
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545688
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ARCHIVED REPORTS_XR0010336 (2)
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Entry Properties
Last modified
5/21/2020 11:23:19 AM
Creation date
5/21/2020 10:29:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010336
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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EHD - Public
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leAdvanced CHAIN OF CUSTODYIOCORD <br /> = GeoEnyuoutue ltal, Inc Date ��� or <br /> 937 Shaw Road 5locktarl, Cairlomla 95215 - (209) 467 1006 Fax (208) 467-1119 <br /> ClientP o)ect Manager �� <br /> ��.,���� ����.� �L� �' Tests Required <br /> Phone Number <br /> ') 7 <br /> 7 72- Samplers' (Signature) invoice <br /> Project Marne 'r— AGE FJ <br /> Sample mm Location Eaae Time Sample Type No of <br /> Number Description Water Alr Solid Cants dotes <br /> comp arab <br /> tyl �ft� ,'6 W1 rl l <br /> I r'S � �3�7;'t'nf?Gr I tiJI <br /> yn�[� yj�iM1 <br /> l!f''p�I-i _- <br /> ri <br /> OaleTime <br /> — kiqulsie >y (s guD e/Time <br /> clnquis ed by (Signature) <br /> flecerved by (9lgnature) �� e <br /> I;ellnquishad by (Stgnatu10) Raoewed by Mobile t aborstory for field analysis (Signature) Date/Tlme <br /> Dispalchrrd by (Signature) DaleTlme Received for Laboratory by f Date/T me <br /> 1 4- <br /> ?lell,ad of 5hipmenl Laboratory Name <br /> s,e❑la! lnssruclrtlns I herby thorlxe the �'Ofmano oil e above Indicated work <br /> r <br />
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