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ARCHIVED REPORTS_XR0005110
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_XR0005110
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Entry Properties
Last modified
9/23/2020 10:58:53 PM
Creation date
3/18/2020 2:47:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005110
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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i _i i <br /> 2795 2nd Street, Suite 300 <br /> .�� Davis,CA 95616 <br /> Lab 530 297 4800 <br /> dN,41-) CAL LLC Fax 530 297 4808 Lab No Page—L of <br /> Project Manager Phone# <br /> Joe Ramage (916)354-3250 Yes ❑No Chain-of-Custody Record and Analysis Request <br /> Company/Address Fax# �. <br /> Ramage Environmental (916)354-1787 Analysis Request F <br /> Project Location Project Name o <br /> 392 S Moffat, Manteca w <br /> Fmr AG Comm Office N to <br /> W m <br /> Electronic Data Deliverables Request GON <br /> `m m x o <br /> Global I D #T0607700235 Email Address do osenv acomcast net N N ~ ~ ¢ �, <br /> Project Name OdT �� •,, $ '� m m m .� a o <br /> IlJ <br /> m = j <br /> 04 <br /> Project Address - a m <br /> Sampling Container Preservative Matrix m my v Q <br /> U F m m "qq N G <br /> ILL <br /> d' m m c 01 U f0 T if <br /> E W O z W J m W �:} y CO m N <br /> W U z iJJ ¢ p w t�i x x x o o O ,o a - L <br /> Sample Designation Date Time v cn z z v z 0 m m °�` r � Ln i~ W) � w > � N <br /> * b _p2 <br /> Pel <br /> cashed Date Time Received by Remarks <br /> mquished by Dale Time Received by <br /> Relinquished by Dale Time Received by Laboratory ��, Bill to <br /> Distribution White-Lab Pink-Dngmator Formstcoc 121001 fhb <br />
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