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ARCHIVED REPORTS_XR0005128
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_XR0005128
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Entry Properties
Last modified
9/23/2020 11:13:16 PM
Creation date
3/17/2020 4:48:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005128
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
Tags
EHD - Public
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• 1 <br /> I <br /> 4080 PIKE LANE, SUITE C CHA11Y OF-CUST0�7Y RECORD 34524 <br /> 4 <br /> f <br /> §GTEL CONCORD, CA 94520 AND ANALYSIS REQUEST <br /> 510 685-7852 f <br /> I••1O'"";.' 800)423-7143 , <br /> Company Name Phone#(SID) 671—=8- ❑ <br /> FAX# SIO 665 <br /> ❑ ❑ _ ❑ <br /> C m an Address Site Location w o <br /> P Y 4057 Pott (LriCaya N"'Y mahko) CA ❑ <br /> o I N " a ❑ O I <br /> Project Manager <br /> Client Pro ect ID # ❑ 0 N U) 0 <br /> ' w o ❑ ❑ E7 z z ❑ ❑ Cl <br /> Sam ler ams Print a N ES ❑ ❑ o a -i 4 <br /> attest that the proper field sampling P @ v p �1 1 <br /> procedures were used during the t <br /> collection of these sem les Mar Ox, � ❑ � � � [�, � cal � 2 It� 2 (1 � N [7 ° a � ❑ n <br /> 7 <br /> Method Sampling a i I ° W a < u co N ❑ <br /> Matrix Preserved <br /> m a d ❑ w w m J J `� Y y ❑ ❑ <br /> Field w ❑ z m Cl n ❑ a a ❑ 2 W 5� <br /> GTEL Z N ro a m N d o <br /> Sample Lab# a w v m_ ac .8 2 $ $ o <br /> P 2 w 0 p w 6 W° w w w X W R m ¢ ¢ a a a a aUj <br /> � ~ gE <br /> 1( d w w ", _ s o n a a a a a <br /> D <br /> \�$o UsIZ e o a a 0 y z = �? g O O ,= ro m = x O f- w w w w w w w w <br /> a <br /> j-1 <br /> ,�° �� i$r sY.�a t K z } 5 P <br /> k+ h r <br /> T t y <br /> 71, <br /> R LI J <br /> FF '� <br /> 10* <br /> 5 3 ' FS gym^ y `i <br /> X73' SPECIAL DETECTIONLIMITSREMARKS P0 <br /> TAT Special Handling V - Cciju INF AKA FFP Melds co 11 ec <br /> Pr[ortty(24 hr) (] GTEL Contact ("l <br /> Expedited(48 hr) ❑ Quote/Contract# gOOOmj rYSl,rti 110 mlh <br /> 7 Business Days ❑ Confirmation If Storage Location <br /> Other SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# 9 <br /> Business Days 0 PO # <br /> pAIQC Let+el Work Order#Blue 0 CLP❑ Other E I FAX <br /> Relinquished by Sampler Dat Time Received by <br /> �� 1t9D <br /> CUSTODY Relinquished by Date Time Fiece,ved by <br /> RECORD <br /> Relinquished by Date Time r4eco,ved by Laboratory J <br /> jq Waybill It <br />
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