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ARCHIVED REPORTS_XR0004884
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_XR0004884
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Entry Properties
Last modified
3/9/2020 3:39:07 PM
Creation date
3/9/2020 1:58:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004884
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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' ampliance 0 <br /> & CHAIN OF CUSTODY RECORD AND ANALYSIS REQUEST <br /> (3Closure, Inc. <br /> PROJECT NO PROJECT NAMEISITE , /z/ ANALYSIS REQUESTED q PO p <br /> SAMPLERS IGN) a w S' ia'r5 � <br /> (PRINT) V l�tJlie, <br /> z <br /> Ltj <br /> Cb o ao P <br /> SAMPLE IDENTIFICATION DATE TIME � m PROS a ��r Zo. <br /> CC r 0 <br /> ii 0 USED [a zz < REMARKS <br /> r 4 !0 Di 7U7 HC Y, Z .} k k <br /> Qz <br /> Mw- 2 E 'o a 8'. 1)3 x k k k k <br /> v 8 , X X 4 x k <br /> k x V k <br /> 2'C k X h k <br /> 007 Q _ / j <br /> /Ag A' ? ,!rs x X Z x x k <br /> 2W Rr -7 1 �� •zU X `1l k k <br /> 009 <br /> FT- <br /> RELINQUISHED BY DATE TIME RECEIVED BY LABORATORY PLEASE SEND RESULTS TO <br /> .k. 'e '/ 0/ 13 ,1S (6 0 1 4111k- -4 1-R �S ZVL <br /> RELINQUISHED BY DATE TIME RECEIVED BY 64-j" Cly � C14 Compliance & Closure, Inc <br /> 7020 Koll Center Pkwy <br /> Suite 134 <br /> RELINQUISHED BY DATE TIME RECEIVED 13Y REQUESTED TURNAROU TIME Pleasanton, CA 94566-3107(925) - 426-5395 <br /> RCLINOUISHf I)BY IIAI E 11ME RI C! IVIED BY U1130FIA 1011Y 131 CE IPT CONDITION PROJLCI MANAGER <br /> Attn Mr Gary Mulkey <br />
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