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ARCHIVED REPORTS_XR0010706
Environmental Health - Public
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EHD Program Facility Records by Street Name
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THORNTON
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9110
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3500 - Local Oversight Program
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PR0545727
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ARCHIVED REPORTS_XR0010706
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Entry Properties
Last modified
6/4/2020 11:48:33 AM
Creation date
6/4/2020 11:25:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010706
RECORD_ID
PR0545727
PE
3528
FACILITY_ID
FA0005693
FACILITY_NAME
7-ELEVEN INC. STORE #20680
STREET_NUMBER
9110
STREET_NAME
THORNTON
STREET_TYPE
Rd
City
Stockton
Zip
95209
CURRENT_STATUS
02
SITE_LOCATION
9110 Thornton Rd
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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11 <br /> _bfw a&t-�' <br /> GTEL 4080 Pike Lane CHAIN-OF72- 16 3 3 4 <br /> I , Concord,CA 94520 B00-544.3422(In CA) AND ANALYSIS REQUEST G CUSTODY RECORD <br /> _ `AloR oo�15 INC 415.885 7852 800-423-7143(Outside CA) ANALYSIS REQUEST <br /> P oJect Manager Phones ❑ ❑ <br /> wt� w ❑ w ❑ D <br /> FAX ` ❑ <br /> Address: _ S to location D ❑ ❑ ❑ C3 # <br /> Project Number Ploject Name " M v o + + o a j <br /> /� l ori L S Ua ua 0 ❑ p o <br /> `rV ' ❑ a A 2 2 a i a D <br /> I attest that the proper field sampling Samp or Name(Print) m 0 , a D V ❑ <br /> procedures were used during the collection �-� D U) w a o <br /> of these samples JI� Le/� o� / <br /> Matrix Method <br /> Field Source wn x �❑= c_ <br /> oa DNa o❑a a❑a ia7 flr-a °( TEL Um a <br /> gmW CL LabPreserved ao m 4 <br /> 4'' <br /> a <br /> o <br /> oD ❑ D ❑ ❑ D 02 , tSamPle (Lab use w only) a s O QV pe z p <br /> s ¢ xz0u <br /> �r <br /> � <br /> � � � � wusuiwwiuw ►- wt� cc cc cc <br /> F E ` �11 <br /> E <br /> Ct <br /> � 2 <br /> 2 m <br /> tono � <br /> 17 <br /> ' l SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS. �� m <br /> 24 HOURS 0 C <br /> EXPEDITED 48 Hours <br /> SEVEN DAY 0 <br /> OTHER (*) BUSINESS DAYS L 0 ) <br /> QA10C CLP 1.6vel Q Blue Level 13 SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location <br /> or <br /> CT <br /> FAX la (Specify) Lot s, Work Order 0: c c <br /> m cr <br /> ■ � � � � � � � � I� � I� � ill fr � <br />
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