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ARCHIVED REPORTS_XR0005119
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MOFFAT
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229
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3500 - Local Oversight Program
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PR0545566
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ARCHIVED REPORTS_XR0005119
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Entry Properties
Last modified
9/23/2020 10:47:17 PM
Creation date
3/17/2020 4:43:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005119
RECORD_ID
PR0545566
PE
3528
FACILITY_ID
FA0005479
FACILITY_NAME
MANTECA BEAN CO
STREET_NUMBER
229
STREET_NAME
MOFFAT
STREET_TYPE
BLVD
City
MANTECA
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
229 MOFFAT BLVD
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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C AIN-OF-CUSTODY RECORD r�NGTEL <br /> 4080 Pike Lane CUSTODY RECORD <br /> Concord.CA 94520 800 544 3422(in CAI AND ANALYSIS REQUEST 7G" a 41 <br /> F N V I Y ON Al F N I A l 415 685-7852 800-423-7143(Outside CAI <br /> ASOQATOAIfS INC ANALYSES REQUEST <br /> � <br /> tIIIIIIIItf1 l <br /> Project Manager Phone# (qt(.I b ?l -23 ❑ ❑ ❑ <br /> UJ W ❑ ❑ <br /> FAX # —__ r- In ai "' <br /> vv ❑ y <br /> Address. Site location Z7,91ILtOFFl"r u J <br /> ed in 3 ° o + + s o z ° <br /> Project Number Project Name ; ° y <br /> ID <br /> C)�J_ZAD_ 4 4� — – - -- --L'�� —�"t Q� - ; a ❑ N Ela in Z Z 2 of � ❑ ❑ c <br /> I atlesl that the proper field sampling Sampler Name(Print) w � 1 � 6 ;� p 2 <br /> procedures were used during the collection ❑ "' ui a a c M <br /> N wUS aO w 71 <br /> o <br /> 5 <br /> p <br /> r� 9 <br /> of these samples ❑ ❑ N TLL <br /> 0 S <br /> W � 00omNNw ❑ a �Field Source GTEL Matrix Method Sampling <br /> W Preserved m m °° CO m 00 ❑Sample of Lab � <br /> 0a ❑ a C3 ❑ <br /> ID Sample (Lab use d O o <br /> v U <br /> CrFN Q <br /> onlYl Z w W so i aU <br /> o�iqa iLu W rW a] = y � p J aW a aa a <br /> U p ¢ _j FI- U t- o o a n- a a a U dao <br /> to OY o 0. - W W WW W W W - wJo <br /> -OZ V v <br /> U w <br /> d�� IrJF_ V(c$_lIl1F _— <br /> +<E� E E q <br /> Cr <br /> Cr <br /> V f <br /> YL <br /> S�a�� RTtSv�.TG i a <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specily) REMARKS C,4JjS DFSX C-,TI <br /> 24 HOURS ❑ 00sLs rt oNov k*OW44 E <br /> EXPEDITED 48 Hours ❑ 4,as pD W AWL CW19 m <br /> 15 <br /> SEVEN DAY ❑ <br /> f+LSO- <br /> OTHER (#) BUSINESS DAYS <br /> QA/OC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location <br /> or a or <br /> (Specify) E S c <br /> FAX ElLot#. Work Order . Z m <br /> a: Ix <br />
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