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ARCHIVED REPORTS_XR0004888
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_XR0004888
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Entry Properties
Last modified
3/9/2020 3:24:40 PM
Creation date
3/9/2020 2:00:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004888
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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• %ompliance • 0 <br /> & CHAIN OF CUSTODY RECORD AND ANALYSIS REQUEST <br /> C1 Closure, Inc. <br /> Y <br /> PROJECT NO PROJECT NAM[/SITE ANALYSIS REQUESTED PO N <br /> -3 k, <br /> SAMPkERS (SIGN} 'Z a <br /> %RINT} ���'y /6 -f✓LCc.r ra i <br /> uI iqG �G 4 dbM fn <br /> G O G <br /> O ` P <br /> SAMPLE IDENTIFICATION DATE TIME �i 4 PRIES w o QQxO O oo tiv�ry �+"q'ry <br /> U u USED z W 4) �. ,� ti co co 4, REMARKS <br /> b v, /6 oc W-L X 2 <br /> x X <br /> t/1w-. b /0 <br /> 6 W-12 <br /> I <br /> RELINQUISHED BY DATE TIME RECEIVED BY !J/� LABORATORY PLEASE SEND RESULTS TO <br /> I( <br /> �� G .�....►Ir�.t.,-C 1.,r�S <br /> RELINQUISHED BY DATE TIME (ICCIIV BY � ,��v,r�� Compliance Closure, Inc <br /> / 7020 Koll Center Pkwy <br /> Suite 134 <br /> Pleasanton, CA 94566-3107 <br /> RELINQUISHED BY DATL TIMI RLCEIVIED BY HF-OI1fSTEDTURNAROUNDTIME (925) _ 426-.5395 <br /> RCLINOUVAIf 0 By DA 11 TIMI HI C'1 WILD BY IA11O11AIOHY Ill CE IP] CONDITION PROJL(.1 MANAGCR <br /> Attn Mr Gary Mulkey <br />
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