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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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CHAIN-OF-CUSTODY RECORD 72 $ p 8 <br /> CUSTODY R CORD ' <br /> NGTEL4080•Pike Lane AND ANALYSIS REQUES ' <br /> Concord,CA 94520 600-544-3422(In CA) <br /> I <br /> N V I R O N M 1 N I A 1 415-685-7852 800 423 7143(Outside CA) ANALYSIS REQUEST h <br /> tttti� 1A{ORA1021111 11kC <br /> Phone e 9/�-/Z y 706 C3 ❑ ❑ x <br /> Project Manager d <br /> w <br /> W <br /> FAX �/6'�� 17-79 ! <br /> ,,,I a tZ` -s 7t"Q�Z+ 2 in in ❑ Q <br /> Address.iyo,, oy-//Ar 4C `� Sita location ` Q U7 ❑ p ❑ 13 � ❑ N 0 � � <br /> 4SB9/ /� r' W r C N +n = = O , p K <br /> !p <br /> GGA C m 2 I, C4 °° a o + + d O <br /> Project Number Project Name = 1 [3v r Q s 12 u� a� O E 13 0 . <br /> e = Z ❑ <br /> M I'r't e G rti ❑ th E3 Cl c <br /> 01,31-0-1446 a u Q _ o c <br /> Sampler Name(Print) 0 – D <br /> I attest that the proper field sampling M m a <br /> procedures were used during thevottection `( ❑ to a <br /> of these samples. �d� +' �stG/" 'ta $ {] COD m W ❑ a o o 0 13 CI (3 LL <br /> Field Source GTEL M I JMetho Sam�lln m °' $ N °° ❑ a ❑ <br /> Sample of Lab# z Preaervetf p 0 cs �' n m ° <br /> ID Sample (Lab use +� qh <br /> N ❑ j 'r ° m m <br /> only} z �, • w u�1 `� m p _a CD m �' aw acva s2 >U <br /> rn uJ W xJX d GQ p� E a-(Jj d67 r1 x x U z O G P ED F & � r Gj w W w w P w � c� W Ct <br /> ..s.4c 3- /snow. rr y G ✓ '• �� !B 1 t <br /> E E <br /> (= I= <br /> L w$'Led// Lo, ✓ 14flo <br /> 1 r2 I A <br /> i y ✓ 1 OU t Ono <br /> d 2 N so i1f <br /> w o 6k� o <br /> I /o <br /> l <br /> 17A L <br /> SPECIAL HANDWNG SPECIAL DETECTION LIMITS(Specify) REMARKS ' `0 <br /> 24 HOURS O A h E <br /> EXPEDITED 48 Hours ❑ SDI <br /> SEVEN DAY ❑ <br /> OTHER (#) BUSINESS DAYS La <br /> QA/QC CLP Level ❑ Blue Level 13' SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Locatfon cc <br /> FAX I3 (Specify) Lot : Work Ordero,.- z <br />
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