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ARCHIVED REPORTS_XR0007990
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WEST
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3302
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3500 - Local Oversight Program
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PR0545872
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ARCHIVED REPORTS_XR0007990
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Entry Properties
Last modified
7/21/2020 4:14:43 PM
Creation date
7/21/2020 4:10:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007990
RECORD_ID
PR0545872
PE
3528
FACILITY_ID
FA0025947
FACILITY_NAME
JAYS MINI MART
STREET_NUMBER
3302
Direction
N
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11705037
CURRENT_STATUS
02
SITE_LOCATION
3302 N WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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LSauers
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EHD - Public
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ATC ASSOCATES, INC <br /> CHAIN OF CUSTODY <br /> Project Information <br /> Report To Samples Submitted To <br /> Project No 5 z6 °°°I Consultant_ ATC Associates Inc rAddress <br /> Argon Labs <br /> Project Title 3" HT" (." -r Address 1117 Lone Palm Avenue,Suite B Core C Street <br /> y Modesto California 95351Ceres CA 95x07 <br /> Locattori3302 wesf "-'e, S+Ork4o h ,CA Contact �S,., V-, � ffen Sampler s NamePhone (209)579-2221 (209)581 9280 <br /> (print) J�w. rvn�6r`f Fax (209)579-2225 Fax (209)591 9282 <br /> Sampler's Signature Bili To Date Results Required <br /> Client Some Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (5 Day) (10 Day) C <br /> El Don N <br /> q' v T m la <br /> o c <br /> EL x ti N o COMMENTS <br /> Sample ID Date Time N Containers Matrix Preservative <br /> MWI- 55' I-12-c� 103+ x x " e <br /> Mwl- 60' 1043 1 <br /> Mwz- 65' JQ'f i <br /> Mwz- 55' 13(21 l <br /> Mw2- 60' 131;' I <br /> wz- 0, 13z� <br /> Mw 3 4S 1-13-04 I1o5 I X <br /> Mw 3- 10' 112Z <br /> M03 R35 �V <br /> Relinquished By Data Time Received B Date Time SPECIAL INSTRUCTIONS <br /> J 10><ys, hrei ,TAM, E73r,T",�ii'� <br /> 1- 14.09- �6 30 - -l� t„2-DCA, Mr <br /> Relinquished By Dale Time Received By' Date Time <br /> 1 <br /> Reanqulshod By Date Time Received By Date Time <br /> s S• Gev�r+r�v•Far�.•t G[rlI T060 <br /> 1]i <br />
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