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ARCHIVED REPORTS_XR0005108
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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392
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3500 - Local Oversight Program
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PR0545570
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ARCHIVED REPORTS_XR0005108
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Entry Properties
Last modified
9/16/2020 1:51:24 AM
Creation date
3/18/2020 2:46:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005108
RECORD_ID
PR0545570
PE
3528
FACILITY_ID
FA0009389
FACILITY_NAME
SJC DEPT OF AG - MANTECA
STREET_NUMBER
392
Direction
S
STREET_NAME
MOFFAT
STREET_TYPE
BLVD
City
MANTECA
Zip
95336
APN
221-030-08
CURRENT_STATUS
02
SITE_LOCATION
392 S MOFFAT BLVD
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Excelch 500 Giuseppe Court Suite 3 <br /> Roseville, CA 95678 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Environmental Labs Ph 916-773-3664 Fx 916-773-4784 <br /> Project Manager Phone# Electronic Data Deliverables Request <br /> .doe Ramage (916) 354-3250 Ercall Address - <br /> Company/Address Fax# ` <br /> Ramage Environmental (916) 354-1787 <br /> Project Location Project Name a <br /> 392 S Moffat, Manteca Fmr AG Comm Office ANALYSIS REQUEST Pae of <br /> Electronic Data Deliverables Request Itet Bin# <br /> Global 1 D # ED <br /> T0607700235 Email Address dou€osenv comcast net o <br /> Total -z- Due Date <br /> Project Location Sampler Sognature o m m _ <br /> N N p OfD m L c � D <br /> � (O L N C) (4 O <br /> EO- <br /> -C <br /> co <br /> cp o N Vo Y a <br /> Sampling Container Method Matrix 2 -E ¢ N E <br /> Preserved o Ln '� �, �, o L Co ¢ o - <br /> Sample g �' °� � oto CD <br /> N o f E <br /> ID - CD - <br /> �W `� a) °� C7 N N o o aca EOmi `� LL m N 7 ¢ <br /> Date Time W COu a o o °� o �, - w L) 2 � <br /> ~ c� W u�j v, m O °° o °O U H O a Z <br /> W cn m co LL of Ln W � a N <br /> O 0 U z w 0 Q O H d d 2 U O w � O 0 E U `` Cr LAB USE <br /> LL CL M F- u� U � V z ONLY <br /> L, I yea xNil.V57 <br /> ,A,t vV <br /> TT- <br /> IT <br /> Reim uished by Date Time Received by Remarks/Condition of Sample <br /> i <br /> C�c�✓ <br /> e inquished by Date Time Received by <br /> Relinquished by Date Time Received by LaboratoryBill To <br /> 2 el <br />
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