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ARCHIVED REPORTS_XR0004585
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_XR0004585
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Entry Properties
Last modified
3/5/2020 12:39:03 PM
Creation date
3/5/2020 11:43:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004585
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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N W MT95Y W-CON D it To l=R <br /> P O BOX 937 <br /> 8071 <br /> Box 937 er Avenue HILMAR, CA 95324 <br /> Sherwood P 0 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI HUE31S Phon'209-667-5258 <br /> CORPORA T i O N FAX (209) 667-2581 Page of <br /> �r <br /> .fob Number PO # Protect Name <br /> CARDOZA .L <br /> Samplers (Signature) Sde Address <br /> 290 N. MAIM STREET <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTI+DAY R) (HOUR/MIN) OF (GRAB OR <br /> CONTAINERS COMPOSITE) MATRIX REMARKS <br /> 14W—3 <br /> TM. Ims .�`133E M DIRE <br /> r <br /> Mtn-2 I , <br /> ` � t <br /> I <br /> Relinquished By (Signature), Date/Time / Received By (Signature) Date/Time <br /> TURNAROUND TIME <br /> Relinquished By (Signature) Datenime ecerved By (Signa re) Daterl-ime <br /> 24 HOUR ❑ <br /> q11 7 <br /> 48 HOURReimquished By (Signature) Date/Time Received By(Sig�tature Dateme <br /> I ! 5 D,AY El.� f{ tt l( ar c <br /> DISTRIBUTION Original-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported un ess other arrangements are made <br /> I <br />
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