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ARCHIVED REPORTS_XR0008563
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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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_XR0008563
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Entry Properties
Last modified
7/15/2020 9:32:22 PM
Creation date
7/15/2020 2:58:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008563
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 = N%MMMMao M r � MMMMMM M M M <br /> ATC ASSOCIATES, INC <br /> CHAIN OF CUSTODY <br /> Project Information Report To Samples Submitted To <br /> Project No �� . L �f Consultant ATC Associates Inc Laboratory Argon Labs <br /> Project Title 54 - i �ry ?- E ��i� ��r��` Address 1117 Lone Palm Avenue Sulte B Address 3037 51h Street <br /> Locallon { 1 f� Modesto Caliromla 95 1 C rrs CA 95307 <br /> 7,5?)( <br /> 5�( c� L Contact Jeon 4 e- ��s-e—y Contact n <br /> Sampler s Name �" Phonc (209)579 2221 // Phone (209)581 9264 ' <br /> (pnnl) T �8Y' Fax (209)579 2225 Fax (209)581 9262 <br /> Samplers Signature � �tr�A BEII To Date Results Required <br /> Client Same Dale Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard SpeclaT <br /> 15 Dayl Jtt)Day) N <br /> b W b <br /> tl1 pl � <br /> M4) m <br /> x IL i3 to <br /> Sample ID Dale Tlme 0 Contalners Matrlx Preservative cvMMENrs <br /> jV w � /OZ8()3 //10 CSL. <br /> �3 �d ✓ <br /> PAWL4 (A35 <br /> M�6 b�5 � ✓ <br /> WW7 6900 ✓ ✓ <br /> mvi? q <br /> -k 0700 ZCAI 00, � <br /> R'11 rd 8y Data Time Raeelved By Data TIME SPECIAL INSTRUCTIONS 3(/�jij�!' — t <br /> /YC``� to 17.qle.3 16 /a .?/o3 In ate. <br /> Relinquished By Date Tlme Received By Date Time <br /> Raltnqulshed By Date Time Recalved By Dale Time <br />
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