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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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.y ma 71 zaca bane tel 805.544.4696 CHAIN of CUSTODY <br /> San Luis Obispo CA 93401 fax 805.544.8226 <br /> report to phone fax Turnaround Time <br /> VAJ�E- ` ,�J1 199a ]E&5 ryg f,y ANALYSIS REQUESTED <br /> company project e� <br /> t XA0 /006 L ASAP 4B hr <br /> address f w project # } 1 <br /> ��yy�Q ryry�,�•� lt,p fit P. .�-�J IL rel 9 _ 1.�� � `_ ±�'; 6 12 hr 72 hr <br /> �J L sampler 24 hr std Fo <br /> us nay SAMPLE DESCRIPTION Date Sampled ' Time Matrix Preserve tL Remarks <br /> 5d)7- nrx- <br /> Lail`1 'd r 17-13~D L /00'V Soy e K� <br /> 10 _w <br /> 1 41 W writ <br /> Vk 50 <br /> r :ak - <br /> Comments f Z LUFT EDD Relinquished by. j ` Received by. %'/ <br /> L?.�;✓+ -7`/ca l - >� '' % <br /> Signature Signature -=" � �-' <br /> Print C �k Print J" <br /> Company `v Company <br /> Date t-'s-5-t -2, Time L� pate Zft /Z I Time <br /> Sample integrity upon receipt. Bill 3rd Party Relinquished by Received by ZymaX envirotechnology,inc: <br /> Samples received intact Signature Signature <br /> Samples received cold Print Print <br /> Custody seals Company Company <br /> Cq�reox container types PO# Date Time Date Time <br /> Quote yes no <br /> email:iyma rrtaXusa.com Page ' of. revs t 1 <br /> .r .■. OWr r .I■ r r ate- ■r r ■� <br />
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