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ARCHIVED REPORTS_XR0006348
Environmental Health - Public
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EHD Program Facility Records by Street Name
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Y
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YOSEMITE
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1002
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3500 - Local Oversight Program
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PR0545915
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ARCHIVED REPORTS_XR0006348
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Entry Properties
Last modified
9/29/2020 10:17:22 PM
Creation date
8/4/2020 2:34:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006348
RECORD_ID
PR0545915
PE
3528
FACILITY_ID
FA0025964
FACILITY_NAME
CONRADY PROPERTY
STREET_NUMBER
1002
Direction
N
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
1002 N YOSEMITE AVE
QC Status
Approved
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LSauers
Tags
EHD - Public
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he onin information K[-ik r t €i i i <br /> p g t t AntGrican idn0r1`CJ�1 knt ivork Page*(OF <br /> of <br /> 1 Cirenl <br /> Address �O fl�l11� 5� 3440 VIIILCnt Road,Pleasant I h 94523 REQUEST FOR ANALYSIS. C CUSTObY <br /> rt'rzrC-Jt�'T7JN r•A- Phone(510)930-9090 _ <br /> FAX(510)930-0256 Lab Job Number <br /> Contact <br /> Lab Destination <br /> I Alt Contact ' <br /> ..� 5 - 1 Date Samples Shipped <br /> Address Report To Send Invoice To Lab Contact <br /> Date Results Required <br /> 2 �f1���_1 C��Fyl3� 3 `� �-_ Date Report Required <br /> o 'T/r zo s Client Phone No S~n <br /> Cl,;_ K1 Client FAX No <br /> ANALYSIS <br /> Send Report To 1 oto(Circle one) <br /> nt P O No — Client Protect I D No �� - /0 <br /> 1J <br /> .cJR1�/ _ xl cr <br /> Samp4e Team Member(s) A � <br /> �f <br /> Lab Client Sample Air Date/ Sample Pres of No Toed <br /> Number Identification Volume Colli cted Type. Cont Cont Comments/Hazards <br /> LJ <br /> j� -C <br /> ,xi]-C I.A Jl 1 <br /> Relinquished by i? DATE TIME <br /> . t DA�E � TIME <br /> Received <br /> (Signature) (Signature} <br /> Relinquished by Y _ DATE TIME Received by DATE TIME <br /> (Signature) �� �r '^ .-�� / ! �� r (Signature) � 1 7 00 <br /> Relinquished by DATE TIME Received by `F DATE TIME <br /> (Signature) (Signature) <br /> Method of Shipment Lab Comments <br /> `Sample type(Specify) 1)37mm 0 8 pm MCEF 2)25mm 0 8 pm MCEF 3)25mm 0 4 pm polycarb filter <br /> 4)PVC filter diam pore size 5)Charcoal tube 6)Silica gel tube 7)Water 8)Soil 9)Bulk Sample <br /> 10)Other 11)Other <br /> COP$FS WHITE JOB FILE YELI OW PROJECT FILE PINK CLIENT <br />
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