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ARCHIVED REPORTS_XR0004855
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LOUISE
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1196
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3500 - Local Oversight Program
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PR0545438
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ARCHIVED REPORTS_XR0004855
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Entry Properties
Last modified
3/9/2020 3:34:08 PM
Creation date
3/9/2020 1:29:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004855
RECORD_ID
PR0545438
PE
3528
FACILITY_ID
FA0000848
FACILITY_NAME
QUIK STOP MARKET #2121
STREET_NUMBER
1196
Direction
W
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
217-410-43
CURRENT_STATUS
02
SITE_LOCATION
1196 W LOUISE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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r <br /> &(3• Compliance46 4"*'��P <br /> Closure, Inc. ANCHAIN OF CUSTODY RECORD AN ALYSIS REQUEST <br /> PROJECT NO PROJECT NAMQSIT r �2 ANALYSIS REQUESTED P-ON N <br /> /,Z/18- 2 Q'1s S7bJ0 <br /> e,*4,,k C.9, <br /> (n Q 1 <br /> SAMPLE S ( !GN) iZ a ryo� ti <br /> C-?Q Q , t Ae- Q <br /> (PRINT) Y `7 ►a- F} "yam ^ham ^� <br /> O ui �� 4' <br /> SAMPLE IDENTIFICATION DATE TIME PRIES w Q <br /> OUSED v Z 4b �. �a `O �4 tory` �`y ' REMARKS <br /> 'Awu /,2 �� - 7 �iU X /fc L .� .? k x <br /> /6"Z !03 X I&L X 4 X X <br /> w-2 "B8cZ X #cL K 4 x k x <br /> Nct k 4 X k 1�C <br /> w- /0 2 ra:-SbX tic L X �• a( <br /> X X 4 xX 'C <br /> n z 11 2 S xOV° X <br /> FIELIN U 4ED BY DATE TIME RECEIVED BY LABORATORY PLEASE SEND RESULTS TO <br /> >-1 °Sd Sri- Sou ^rr�vc,Sc a <br /> Z ` - Compliance & Closure, Inc <br /> RELiNaU1SRED BY DATE TIME RECEIVED BY p�C-�lirl-�!tc�i C A 7020 Koll Center Pkwy <br /> Suite 134 <br /> ' <br /> 5 RELINQUISHED BY DATE TIME RECEIVED 8Y REQUESTED TURNAJROUND T��AE Pleasanton, CA 94566-3107(925) - 426-5395 <br /> RCLINOUISIifD BY DAl! TIMI RI CI IVSD BY IAIIOfIA1011Y 111 CLIPT CONDITION PROJECT MANAGER <br /> 57, <br /> � Attn. Mr. Gary Mulkey <br />
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