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ARCHIVED REPORTS_XR0013019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545488
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ARCHIVED REPORTS_XR0013019
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Entry Properties
Last modified
3/13/2020 8:01:48 AM
Creation date
3/10/2020 5:00:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0013019
RECORD_ID
PR0545488
PE
3528
FACILITY_ID
FA0001393
FACILITY_NAME
MANTECA LIQUOR & FOOD
STREET_NUMBER
890
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
22302007
CURRENT_STATUS
02
SITE_LOCATION
890 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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PARKER <br /> Environmental Services CHAIN OF CUSTODY FORM <br /> 4185 Rialto Court <br /> Pittsburg, CA 94565 JQb14 3 <br /> (51 0) 439-1024 Client: <br /> Fax (51 0) 439.2566 Location: __, �\j , i'�, � (' rl Data <br /> Sample Type Analysis Requested-------. <br /> Number Soil Water Time TPH-- .r- BTEX Oil & Grease 8240 Metals (list) Other Remarks <br /> / t. �� ✓ Np, 21 515 1 •'I': r — <br /> �/ 10 515 2 <br /> 10 5.15 3 . <br /> •� I <br /> 1- <br /> "I I No, 5 6 <br /> I <br /> f3-- - 4 ' No 1455 <br /> {{x•''77'/f]y�' -�. 44 US 0 <br /> -1MAV 1111 A , <br /> R£SFC i <br /> !-4 SPAS <br /> I <br /> Signature <br /> Relinquished By: Date and Time Received By: Date and Time Sampling Site Sketch <br /> Z <br /> Relinquished By. Date and Time Received By: Date and TFme <br /> Relinquished By:. Date and Time deceived By: Date and Time <br /> I Relinquished By: Date and Time Received By: Date and Time <br /> I <br />
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