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ARCHIVED REPORTS XR0004314
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1399
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3500 - Local Oversight Program
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PR0544686
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ARCHIVED REPORTS XR0004314
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Entry Properties
Last modified
7/23/2019 11:41:23 AM
Creation date
7/23/2019 11:30:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004314
RECORD_ID
PR0544686
PE
3528
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
02
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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' STL— LOS ANGELES <br /> PROJECT RECEIPT CHECKLIST Date= <br /> ' Quantims Lot # ��-2G'd '2 Quote # <br /> _17Project, <br /> Client Name. T` -p <br /> Date�me Rece <br /> Received by: �'� _ i ed• csr]��aD <br /> Delivered by .❑Client ❑Airborneed Ex []DHL ❑Ultra-Ex ❑Rey B <br /> ❑UPS ❑DES ❑Other <br /> Initial ! Date <br /> Custody Seal Status: ❑Intact 013 ken None ..... ....................................... <br /> ' Custody Seal #{s} ° ❑No Seal # . ....... <br /> �STL-LA ❑Client ❑ ............ ............ <br /> Sample Container(s): NIA .. .................. . <br /> ' <br /> Temperature(s) (COOLEfIlBLANK) m °C: ICORRECTEO TEMPI. ..- <br /> ❑D <br /> (Infra-red) <br /> Samples _—R—Int-act <br /> igital (Probe) ....................... .............. ...... <br /> Thermometer Used : DR (Infr _roken Other _____ <br /> Anomalies <br /> ❑B .... ...... .. <br /> ' allo ❑Yes (See Clouseau) . .. .. ..... .............. ...... <br /> . <br /> ...... . . . . . .............. ....... <br /> Labeledby ......... ...... . .. . ...................... <br /> 1 ..... .............. ...... . ... <br /> Labeling checked by ....... .... .............. .... ..... <br /> •,.••r,•••,••rr••••,••••r•••„••.,,•.r•••►•,rr•r•••,r•.••„•,••••••r•••r•r•••••r•••r••.r,••••,r•r ••••••••• <br /> Turn Around Time•❑RUSH-24HR ❑RUSH-48HR ❑RUSH-72HR NORMAL .... ... - <br /> Short-Hold Notification. ❑Ph ❑Wet Chem ❑Metals (Filter/Pres) ❑ <br /> Encore QN/A . . <br /> ' Outside Analysis(es) (Test/Lab/Date Sent Out) <br /> ................... <br /> .......... <br /> LEAVE NO BLANK SPACES , USE NIA •••'"'"` <br /> P <br /> Frachon g NIA <br /> VOM r <br /> r <br /> r <br /> r <br /> r <br /> �izM ASM� _�• CHM UtMQ3-FwM s� 114��{No�-lib lilmP, <br /> RMC! esom�H�dOsrle s e.�.s•�+o� VNGA <br /> err Ckw sus IN Cris Clow rim:ems. AGlamhar rims>: AGd Ani Cdsa sdu. !s tali beak <br /> * Number of VOA's wt Headspace present <br /> LOGGED BY/DATE' REVIEWED BY/DATE: <br /> 000003 <br />
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