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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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AlcCample Analytical Inc. 0WIN-OF-CUSTODY RECORD Page I. <br /> 110 Second Avenue South,f1177 <br /> i'arliece,CA 44553--5560 <br /> (925) 198-loo WorkOrder 0202 81 <br /> Client <br /> Advanced GeoErivironmental TEL <br /> 037 Shaw Road FAX <br /> Stackion, CA 95215 ProleciNo Former Canteen <br /> PO 28-1f eb-02 <br /> Requested Tests _ <br /> Sample ID GlcenlSamplD Matrix Collection Date Bottle13d21Bl8Q15 — — <br /> 0202181001 VEI 20 15 05 Soil 2125!02 <br /> 0202181 002 VEI-35 Soil 215102 3 22 00 PM A �� <br /> Cozrzratier�is � ' <br /> DatelTrrne -- — ___ -------�� _---- C Datellune <br /> Rebnquislied by, - Received by <br /> Relinqucsbed by. _ _ Received byi _ <br /> Re1ruquisbed 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 dient or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S Soil Jar 0-Orbo T-Tadlar B-Brass P-Plasilc OT-01her <br />
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