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ARCHIVED REPORTS_XR0005120
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_XR0005120
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Entry Properties
Last modified
9/23/2020 10:56:06 PM
Creation date
3/17/2020 4:43:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005120
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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4080-Pike lane CHAIN-OFCUSTODY RECORD 72. 13691 CUSTODY RECORD . <br /> ® GTEL Concord,CA 94520 800.544-3422 tin CA) AND ANALYSIS REQUEST 415-865-7852 600.423-7143(Outside CA) ANALYSIS REQUEST M �' <br /> fABONA109115 INC <br /> �. <br /> Project Manager Phone013w E3 D <br /> FAX# o 13 <br /> Ln - p N T <br /> Address <br /> Site location -IZ q Mp`{AT ❑ ❑ <br /> G _ + G� o ❑ _ ❑rT n _ a <br /> cT a M m �co _A r <br /> Projeb Name o 6 a ' . i z C3 S d 3 <br /> Protect Number G- M N -, ❑ v <br /> ; m ❑ pq ` �- v n D 1: <br /> qqq E <br /> [} ❑ ❑ ` 3 m 0 <br /> I attest that the proper field sampling Sampler Name{Print) m 13 - O <br /> procedures were used during the collection o <br /> � a ❑d o N c J� o �of these samples. o a <br /> �+ <br /> Field Source GTEL w Matrix Method Sampling A 8 ; 5 C N ° a° ° o J }} <br /> Sample of Lab# Z Preserved ❑ = n o o a ❑ a C3 13 o � m � � <br /> ID Sample (Lab only)e ` cs s ` w w ui w' 0 P 0 a. i m to 'r � ` j1 � <br /> O ,. J <br /> w Z =C� r 'If `° `° a s a4 a a v a 0 4 <br /> vapg � IS- t, z v0h 1- ° o 0 0 <br /> 3 rr) a rn o z x x _ z 0 ❑ F m �i ►r 0. 1- F- w w� w w w w w w V <br /> S I y ` <br /> P- <br /> 1 I11 157dm m ''� m <br /> ( b X <br /> U v� <br /> j 1 1 - <br /> �9 I <br /> tr r•y <br /> o r ,•� 1 <br /> SEND <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS ORFS 1S80 D i tl1 <br /> 24 HOURS 13 art eDoielO QJ <br /> EXPEDITED 48 Hours O <br /> SEVEN DAY ❑ <br /> # BUSINESS DAYS <br /> OTHER I ) � <br /> OAIOC CLP Level 0 Blue Level C] SPECIAL.REPORTING REQUIREMENTS Lab Use Only Storage LocationN" c Cr <br /> FAX 13 (Specify) Lot#: Work Order*: m <br />
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