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ARCHIVED REPORTS_XR0004591
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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290
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2900 - Site Mitigation Program
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PR0507835
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ARCHIVED REPORTS_XR0004591
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Entry Properties
Last modified
3/5/2020 2:07:58 PM
Creation date
3/5/2020 11:54:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004591
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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EHD - Public
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INNIM M M M M M = M- = = M M = MAPW = <br /> HAIN OF CUSTODY( RECORD B"'To SHERWOOD LABS <br /> PO BOX 937 <br /> anerwAm AL 8071 N Lander Avenue HILMAR, CA 95324 <br /> ood P O Box 937 ry <br /> Hilmar, California 95324 <br /> 1151ILabs (209) 667-5258 Attention VICKIHUBIS Phone 209-667-5258 Pee of <br /> C O R P O R A T I O N FAX (209) 667-2581 9 <br /> Job NumberPO # Project Name <br /> Samplers (Signature) <br /> Site Address ��\� f <br /> ii <br /> 2 i' J <br /> pp�� Pv A <br /> [�lX� 4l <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTHIDAYNR) (HOURIMIN) OF (GRAB OR <br /> ,f CONTAINERS COMPOSITE) MATRIX, , REMARKS <br /> x <br /> Relinquished By (Signature) DateRme Received By (Signature) Daterl"ime <br /> # � TURNAROUND TIME <br /> � ��f. F' r �e �. r � •- T �.,,��j,��.) �' ��r'Yy'!'Ci-C�,,,...rlr' r fti.x �'•t; <br /> r <br /> Relinquished By (Signature) DatefTme Received By (Signature) Dater ime _ 24 HOUR <br /> A8-HOUR- <br /> Relinquished By (Signature) DateRme Received By (Signature) Datemime '�f <br /> F 5 DAY <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days atter results are repoded.unless other arrangements ar ade <br />
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