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ARCHIVED REPORTS_XR0008504
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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2537
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3500 - Local Oversight Program
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PR0545857
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ARCHIVED REPORTS_XR0008504
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Entry Properties
Last modified
7/15/2020 8:50:51 PM
Creation date
7/15/2020 2:50:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008504
RECORD_ID
PR0545857
PE
3528
FACILITY_ID
FA0005147
FACILITY_NAME
E-Z FOOD
STREET_NUMBER
2537
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
11914035
CURRENT_STATUS
02
SITE_LOCATION
2537 WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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LSauers
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EHD - Public
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I race- Anal 3015 <br /> y4is Laboratory, lnr. <br /> Telephone (510) 783-5960 <br /> 3423 Investment Boulevard ft8 • Hayward California 9 Facsimile (510) 783-1512 <br /> CHAIN OF CUSTODY RECORD <br /> Proj.No. Project Name <br /> f'( 53 9 No. <br /> Analyses:// <br /> Bill to <br /> E-Z Serve Petroleum Marketing Co. <br /> 10700 interstate 45, Suite 500 of <br /> Quito TX 77 37-11 1 3)-6 - 3 6 <br /> Project Manager: <br /> Paul Martin. Environmental Oversjght �/ // <br /> Sample Date Time Site Location Con- <br /> ID tainers / // // REMARKS <br /> AVV - � 3 �:�o Z <br /> 3:Zo Z v <br /> 31.00 e2 H1,00 '-2- <br /> Sampled <br /> Sampled by: (signature) Dat /Time Relinquished by: (signature) Date/Time <br /> 3 C� <br /> 313153 <br /> Received by: (signature) Date/Time Relinquished by: (signature) Date/Time <br /> �77 a <br /> Received for Laboratory by (signature) Date/Time TURNAROUND TIME <br /> 31319_3Na I <br /> , 411 /I sS �—cicz <br /> Fax and Mail to: Paul Martin ph: 409-273-4565 REMARKS: <br /> Environmental Oversight, Inc. fx: 409-273-4530 tic V--L -P <br /> 6 Bedford Lane, Suite 100 1'VFE`v�lrz_R Conroe. - <br /> 40 <br /> 38 \ VoKs ,M �CQ 1�C <br /> ltr-�°`'� T�T <br /> �L u <br /> Founding Member of the Association of California testing taborafories <br />
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