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ARCHIVED REPORTS XR0006071
EnvironmentalHealth
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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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1399
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3500 - Local Oversight Program
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PR0543988
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ARCHIVED REPORTS XR0006071
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Entry Properties
Last modified
12/28/2018 11:09:19 AM
Creation date
12/28/2018 11:08:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006071
RECORD_ID
PR0543988
PE
3500
FACILITY_ID
FA0000914
FACILITY_NAME
TIGER EXPRESS STORES
STREET_NUMBER
1399
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1399 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
TMorelli
Tags
EHD - Public
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FEDERATED INSURANCE <br /> ace 111.0. Box 586, Citrus Heights, CA 95611 { <br /> pi—uconvoat< I to CHAIN OF CUSTODY 1 <br /> rMt +Issnaarfst OF aunt+tr <br /> Novato, CA, I1 Digital Drive, 94949 <br /> Phone (415) 883-6100 Frx (415) 883-2673 'S' a Toy: 632, <br /> '„ucultant a N.rme Aegis lnvirotmlental, Inc. Farnc of Insured Moore PetroleLM Page of L <br /> 1d�lr►qs 1050 Melody Lane Suite 160 Roseville California 95678 FcdLralcd Site Location 1399 E. Yosemite, <br /> 'n►ecl Contact Laura odenthal Ph,,,,L#4 916)782-2110 Fax N t 91 )786--7830 Federated Contact Gail Clark <br /> iam ted b rmt !" Samplers Ss rlalu Phone Hj qj f,j 77q-71 77 Paxiv 916}729— <br /> 'Inplim" Method ` `�� Consultant ProJeLt p 90_98 Federated Clatin N 837-161 <br /> AT 1:124 hr El 48 hr ❑ 72 hr T Standard(10 day) ANALYSIS RE UIRED mp ton as Received <br /> Tempample C <br /> Cooler <br /> Inbound Seal Yes No <br /> Outbound Seal Yes No <br /> ample Deeenpnon Collection Matrix I'm /of PACL C <br /> P Id lite� a3 Snnrwalre Cniri SonLple R � COMMENTS <br /> q3r L•� <br /> s 5,k dll - Sn L r14" <br /> to 13, <br /> c1 <br /> Relivqx#sbed by/Affiliation *Dale cce d by/Affiliatigil Dae Tune A�d�diu n S Cginnents� S_ <br /> 1;:OLn N�,% OtA-L <br />
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