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ARCHIVED REPORTS_XR0006386
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_XR0006386
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Entry Properties
Last modified
9/29/2020 10:26:37 PM
Creation date
8/4/2020 2:36:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006386
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
Scanner
LSauers
Tags
EHD - Public
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jow <br /> _-M M"M" <br /> -M Alrte rt if o eftt ttit �p � <br /> Hili,X14523 CUSTODY <br /> ! 3440 Vincent Road,Pleasant Ht , REQUEST FOR ANALYSIS/CNA <br /> �rress 4"" Phone(510)930-9090 <br /> .a d 1d-ru ee,g �4__`�r{' O/ FAX(510)930-0256 Lab Job Number ,�`c�''��7 <br /> -Contact f Lab Destination <br /> — Ali Contact Date Samples Shipped <br /> '_Atldress Report To _ _ - = Send invoice To Lab Contact <br /> Date Results Required S 1 h hit) �R <br /> 2_-- iia = 3 {, 7 -4� Date Report Required kVY02,, 4_0J!("r1sn, <br /> // 2,5 1 t^ t' r< ;f Client Phone No i i>- 3 7 k137 <br /> Client FAX No <br /> l7 i F i1L� �r•}ILfstl 17:t <br /> 01,16 1 y <br /> - _ ANALYSIS <br /> Send Report To t or 2 (Circle one) r <br /> A"' <br /> - =Glien!P O No - -_ - <br /> Client Prafect I D No n; <br /> =ipte Team Member(s)- <br /> No <br /> mmLab __ Client Sample Atr Time Sme Pres of Type <br /> � 1 <br /> -Number —-Identification Volume Collected Type* Cont Cont � L� �! Comments 1 Hazards <br /> =--- ---- �- cib R.IgI. f_C( I x <br /> 'e �� -�!n <br /> SK <br /> 13 <br /> Relir�qurshed by _- - DATE C TIME sy Received b ' f i f A T y TIME <br /> n 1 (Signature) �ICrY- s(� ., G L •� ` dAT <br /> (Signature) <br /> _ DAT TIME Received by TIME <br /> Rellnqu€shed by �F-�I f r <br /> 0 �� ? (Signature) <br /> (Signature) <br /> - - - - CTAT TIME Received by DATE TIME <br /> Relinquished by <br /> (Signature) � — - _ - - (Signature) <br /> Lab Comments <br /> Method of Shipment <br /> --- _ - `Sample type(Specify) 1)37mm 0 8 pm MCEF 2)25mm o 8 pm MCEt 3)25mm 0 4 Nm polycarb litter <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 /> r,nir mi tiTr inti nip YFI i nW P110 iFrT RI F PINK Ct IFNT <br />
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