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ARCHIVED REPORTS_XR0004579
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0507835
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ARCHIVED REPORTS_XR0004579
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Entry Properties
Last modified
3/5/2020 12:46:36 PM
Creation date
3/5/2020 11:41:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004579
RECORD_ID
PR0507835
PE
2950
FACILITY_ID
FA0007793
FACILITY_NAME
SUPER STOP MARKET
STREET_NUMBER
290
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
22309101
CURRENT_STATUS
02
SITE_LOCATION
290 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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rr �rr �r � �T r ■r r� � rr �r r� r rr rr r rr <br /> { <br /> Laboratory Chain o stody <br /> 5VS/C�vI, SCA <br /> DEL-TECH GEOTECHNICAL SUPPORT Submission# <br /> 10624 OLIVE AVE I OAKDALE CA 95361 co <br /> SITE NAME CARDOZA SUPER STOP ❑ <br /> to <br /> (209)847-8757 / (209)847 7744 FAX <br /> Sheet _1_ OF _1_ cd <br /> EClient GEOLOGICAL TECHNICS Repot Attention JOE ANGULO 209-522-4119 Phone °0 P1 <br /> m m � <br /> i Address Protect Name FAX m <br /> 1101 7TH STREET 2ND QTR.G W MONITOR 209-522-4227 N m F u <br /> ECity State Zip Consultant P O # m c Q ? ❑ <br /> MODESTO,CA 95354 GEOLOGICAL TECHNICS 231133MP m w `EL 0o <br /> Lab Use OnlySampled Lab x r <br /> Sampling P 9 Info y DEL-TECH 1231132 M P SHERWOOD h xx N a <br /> s _=T,q4e Rf_Date .J tr"=3TImd "_---Sam-le-16 -Lcication; -_'Sam 1&ContAmer-rPreserv�-; m wcr n <br /> MW-1 2 VOA's/HCL,2 VOA's/TSP X X X S <br /> MW-2 2 WA'S 1 HCL,2 VOA's/TSP X X X S <br /> MW-3 2 VOA's/HCL,2 VOA's/TSR X X X S <br /> MW-104 2 VOA's/HCL,2 VOA's/TSP X X X S <br /> QC Report Type Level [ ] 2 E ]3 [ }4 Formal COC Required [ ] BILLING TO GEOLOGICAL TECHNICS <br /> ,=v ;4 <br /> Signature,'4� = =`` ,� Rnn�[ttamer� - _ - -- Com n '�, 'Date <br /> Received!Religwshed by <br /> 1cAk DEL-TECH GEOTECH <br /> Received! ehgwshed by/ � � <br /> Received Ral gwshed by ^fJ r Cj <br /> ,/ / � � <br /> IReceNedlRetiquishedby S rnel u&/•S S�']t°lo.E; om taA5-S �j' !!a d 3 I�dQQ <br /> Received I Reliquished by' <br /> I <br /> -NOTES (MTBE,RIPE,TAME,ETBE,TBA) <br /> I <br />
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