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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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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
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SJGOV\sballwahn
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EHD - Public
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CHAIN-OF:-CUSTODY RECORD 72— 13 6 7 3 CUSTOIDY RECORD <br /> GTEL 4090•Pike Lane AND ANALYSIS REQUEST' <br /> Concord,CA 94520 soo-544-3422(In CA) ANALYSIS RE�,IUEST <br /> raritoMr+iMr►t <br /> 415 685.7852 800 423-7143(outside CA) <br /> (llflllll� I!60MAJORGIS INC <br /> protect Manager Phone a (Sto to-71 rZ3 o o w a p <br /> CKRt S FAX#• C�IfJ ' o t f3 <br /> Address 4p5} ypQT C1!�[AGa 1{vIf Sltelocallon (;abfN C.,�N f] 0 0 t7 0 02 O O 44 Lh b <br /> tlG M il�.it= F- q�p IL W C O •h Q Q V �` t0 <br /> v o 0 3 <br /> Protect Name N ' O c M E $ n <br /> Prosect Number, ! _ <br /> D o f7 a G a Q O <br /> o <br /> I attest that the proper field sampling Sampler Name(Print) I � " � e � � °� <br /> procedures were used during the collection ���� �� �_./ a N 13 <br /> d p p p p o A , q w <br /> of these samples. LSI r++ O e + p q o <br /> Field SourcO GTEL rg;ze <br /> MatrixMethod SampNn � n n � � o n O � o. � � � P <br /> Preserved f] rj Sample at Lab# n s p a1D Sample fiabuse W w om . ianlyt ua S N ue Z x F- �' 76 < d < g a u� qq 4) <br /> l] 4 IL Fx [! Z n O 4 a a CL <br /> lir W W 111 J U to aix <br /> s 3rnarn O x <br /> t 4 15 <br /> --AJ-F— Z � t h <br /> a <br /> w .. <br /> SFJD REC ULrS -ra <br /> SPECIALHANDUNG SPECIAL DETECTION LIMITS(SpeclM REMARKS C(ts -}ESOCIOr E <br /> �v ti <br /> 24 HOURS D <br /> EXPEDITED 49 HourS TO MWIT SfMVAJ, v 9..� <br /> SEVEN DAY ❑ Sac <br /> OTHER (#1 BUSINESS DAYS <br /> v <br /> 0A/QC CLP Level 0 Blue Level 0 SPECIAL REPORTING REQUIREMENTS Lab Use Only StorAge Location c c c <br /> (Specify) Lot#: Wark Order*: ¢ 0 <br /> FAX 11E� <br />
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