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ARCHIVED REPORTS_XR0008736
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_XR0008736
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Entry Properties
Last modified
10/10/2020 10:30:26 PM
Creation date
7/15/2020 3:06:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008736
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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EHD - Public
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SunSlar Aratories, Inc Chain of Cusey Record <br /> 326 En& tas Blly ,ate 51 0 <br /> Encinitas, '"J2024 Z- <br /> 1-80 <br /> �'- 0-9333 <br /> Client A'C C- N Ss o u NTS-,� Date—_ -I )-0--- Page Of <br /> Address C1 67 '. � ! Protect Name "?_- 4�P- Og(v�o <br /> Phone Fax Collector.0 14,1?-I. C f3 LAV-0 Client Protect# (43 _ZS Z"�_p¢Z„6 <br /> Protect Manager I,M (Kr -b�\Vf j Batch #_ - �^-�'^`" Proposal# <br /> _N <br /> � f9 <br /> N <br /> .... N <br /> Ql r In <br /> c <br /> w <br /> r o 3t <br /> U � <br />� a o <br /> o Q o o u o oa Z <br /> N co r— m `• o is o <br /> 00 co 0 v co coca (0 0 sz.� 12it <br /> Sample Container Q Q Q ¢ ¢ 4 ¢ a Q W �o a <br /> Sample ID Date Sampled Time Type Type w w w w w w w UJI - a Comments <br /> V --� y61 -' <br /> -? -2D <br /> 1 �-`21 to Cl 150 l <br /> 'VF—As - 04"> r _ >41 <br /> ( ' t s D <br /> - + <br /> 09 5c, <br /> - V E T- <br /> Relin wished by (signatur, Ct1s��S Date I Time Received ,(sig afur `F D to 1 Time Total#of containers Notes <br /> !+ _ f. �f�alin of Custody seals YIN <br /> Relinquished by (signature) Date rn �.,R Eeived by ( ignature) ate I Time Seals intact?YIN <br /> Received good condition/cold <br /> Rel�nqutshed by (signature) Date I Ttime Received by '(signature) Date!Time A <br /> Turn around time <,tA W-h <br /> Sample disposal Instructions Disposal @$2 00 each _ Return to client Pickup ___ <br />
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