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ARCHIVED REPORTS_XR0012598
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_XR0012598
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Entry Properties
Last modified
10/10/2020 11:48:13 PM
Creation date
3/17/2020 4:52:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012598
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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,oma-.-. __ _ �_ x^- �-,;sw� •�.F���.. .fa ,r, �r^e_ r� -w�- �� �=1y ay--2cv.. <br /> GTE <br /> 4080•Pike Lane CHAIN-OF-CUSTODY RECORD r CUSTODY RECORD <br /> T L Concord.CA 94520 800.5.4.3422(In CA) AND ANALYSIS REO UEST <br /> 72- J Q 2 <br /> rr viaouMrarA. 415.585-7852 800.423.7143(OulsiduCA) ANALYSIS REQUEST <br /> 1A,y0'1 lOu1r3. I,IC —_ ......_.— <br /> Protect Manager, Phone A: u I r :,.r <br /> m <br /> Site location: <br /> l ' o G <br /> ,•")l/�� /�fO�9r' iFAX#: C r a n . <br /> Add/ress: _ p In o <br /> Al <br /> > C ! c <br /> Project Number. /� r�r.'rI (�i.l!,�7 G '' QI❑i 'U; U1 i�iz' uiNlafr <br /> - Protect Narnu: o I in n I W n j - o <br /> _i!= /l! �,. �.G- _ s m ❑ n a a� °lolls ❑ �I i w <br /> I attest that the proper field sampling —Sampler Name(Prmt). <br /> procedures were used during the collection ❑!o q "' °; a �i s ! m <br /> 0. c J ` <br /> o[thesesam samples. ,!l r J , c :,fCt ° �i a ❑ qi❑ ❑I❑ > 5€°Ilc�nf ��rl ,II, n° <br /> P _ - _ molt] Ui xio p.o o€oio ❑ r. aCID <br /> Field Source GTEL Matrix Method Sampling °' i 1 I N I ra v.I i p 4 h E o, _, <br /> w � Aylro mia ro m w "6 m u n .r1 }i S i <br /> Preserved ❑, 0 -a I = <br /> Sample of Lab# - - — c o r3 ❑ n ❑ a ❑ o€ <br /> 4 ne I x ❑ _ 'A i N l.0 y =i :. <br /> ID Sample (Lae use ti w rl'j� a a ; -l- v , I - ..I <br /> only) z ¢ 0 ¢ W w w rnlr ri i la'ialml 'isles m X L.o:! El01. .1 <br /> LU flw O ur x �'� I i ❑�� •.J� <br /> p F, � ox O N Lu t- waw �i�iro ml.[ tlalala aGr- �.al.1121 <br /> U ap¢ wr- rJ Z UOr a r-',.-,al ib'o a aa�a�a;aia U�alw�a• o; i j n o u <br /> n rna w O 2 2 T Z O ❑ P ro!m 1 a rir-f w w,w;w w,w,wr wi.�,UIU;\, CC Cr.Q 4) 10 ��'• <br /> 'I s <br /> Z/' — <br /> T <br /> SPECIAL HANDLING r SPECIAL DETECTION LINIcily) REMARKS: <br /> 24 HOURS 0 no <br /> EXPEDITED 48 Hours ❑ a <br /> D \ A L <br /> SEVEN DAY ❑ <br /> v m v <br /> OTHER (#)BUSINESS DAYS <br /> QA/OC CLP Level❑ Blue Level❑ SPECIAL RCPORTING REOUIREMENTS Lab Use Only Storage Location . <br /> C.'.-. 6 or <br /> (Speclly► r) r, r,� e c <br /> FAX❑ (Work Order <br /> ri�•� <br />
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