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SITE HISTORY
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EHD Program Facility Records by Street Name
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2001
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3500 - Local Oversight Program
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PR0545494
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SITE HISTORY
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Last modified
3/10/2020 4:10:02 PM
Creation date
3/10/2020 1:20:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545494
PE
3528
FACILITY_ID
FA0025825
FACILITY_NAME
FIORE DEVELOPMENT
STREET_NUMBER
2001
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
22717032
CURRENT_STATUS
02
SITE_LOCATION
2001 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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Date: -�6 - 92- THE TWINING LABORATORIES, INC. "" Page of / <br /> 2527 Fresno Street, Fresno, CA 93721 <br /> Z p (209) 268-7021 <br /> Chain•of•Custody and Analysis Request Record <br /> Project Name: //� f'�� /�/JrrProject No.: l I l / / + 0,9 Project Manager: L 'J V L 1 <br /> Sampler: M�-.�U L� t 5 �a�Co`mpany: T L Phone: 7''/ ^ 1045L7 del.By: /'/•�. u��/S <br /> FP <br /> ��I ccs;,��' MPLING LOCATIO R- BILLING (Circle One): EXPECTED TURNAROUND: <br /> Company: / �� e II l /Cy E LLD Pr►'JE Al rCompany:—_ 1 //G /�y�/y,7��1�n T"-' Y Rush <br /> Address: 2 0 Q I IV �AnnriJ ST. Address: o<(]Ul �� Ne i'J /\ Routine <br /> [g4,✓-7�CA. (2,q . (Specify Time: ) <br /> tact Name: Contact Name: _ F/Z AN IL 1:710 r/ <br /> )�fione: Phone: <br /> COPIES TO: <br /> Analysis Request <br /> Number of <br /> Lab' Client Sample Sample DaterTime Containers <br /> ID # ID # Description Sampled Analysis Requested / Per Sample <br /> S-� A 5-IA 13- 1 13. 5 - 11-1.(D T t3S(T /1(./T2 Z wt 97X6- -5-03o 007-0 T7N6�> f Sy3U) <br /> S'IEl F) - I i�l.b Icl r) 35L �vCC) <br /> _ S-ZA 1 F T (13TXE-6o3o.'boZo )TPH (,es 503o <br /> 5-Z8 i� Z I',. '2 o c.n <br /> F3__ _ S <br /> • <br /> 'Lab use only. <br /> 3. <br /> FlelinquisheicrBy Affiliation Date/Time j Received By Affiliation Date/Time <br /> i <br /> 2 .Received By Affiliation Date/Time Received In Affiliation Date/Time <br />
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