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ARCHIVED REPORTS_XR0005122
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_XR0005122
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Entry Properties
Last modified
9/23/2020 10:29:48 PM
Creation date
3/17/2020 4:45:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005122
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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S UOIA ANALYTICAL <br /> II or Avenue, Sulle 8 • Sacramenlo, CA 95934 <br /> {916) 1 9600 FAX (9l6) 9210 100 CILAIN OF CUSTODY REPORT <br /> C ';3 Ir <br /> Q REPORT TO I <br /> 4l1EHT• r' ��� (]�w.� (Project Manager)- ,sem 61Y' �G O1'-9— TURNAROUND TIME <br /> 'LEASE SEND REPORT TO C7 "JD kA 'tl_Y ToLd,"Ikc, PLEASE SEND BILL TO (If different from report address) 8 24 48 72 5 7 10 <br /> ADDRESS. I ADDRESS- Mrs. Hrs. Mrs Hrs Das Das Da <br /> f <br /> ITT, STATE L.u, S P CITY, STATE. <br /> IIP '77C.T6/ P PHONE (X/6 FAX ZIP AT1N. <br /> PROJECT NAME/SITE. P 0. MILLING REFERENCE: <br /> ANALYSIS REQUESTED <br /> ;AMPLER: DATE, <br /> SAMPLE <br /> 1 � <br /> SAMPLE IU N/ SAMPLE HUMBER TYPE SAMPLING REMARKS- NUMBER <br /> STATION DESCRIPTION OF CONT CUNT. TIME/DATE (� <br /> f\'U',lnwl` S Z► q� <br /> A4 w ! �( <br /> s erre Sa�So5S7 1 <br /> 2 a MCA, 7 <br /> {{ <br /> ZL3xAwz <br /> Ail %-P., Z Z 5 oSa 5 —I <br /> � Qbv r`r4-�4 <br /> Imo' rr� � <br /> - j <br /> ELINQUISHED BY DATE: TIME: RE�VED BY: 1��Q TRAVEL TIME: <br /> S z p- r /s �ra�Ca—y1 c� <br /> ON SITE TIME: I <br /> ELINQUISHED BY, DATE: TIME: RECEIVED BY: OTHER: <br /> HERE SAMPLES, YES NO <br /> ELINQUISHED BY DATE: TIME: RECEIVED BY: PRESERVED? <br /> IH GOOD CONDITION? <br />
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