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ARCHIVED REPORTS_XR0005049
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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757
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3500 - Local Oversight Program
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PR0545572
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ARCHIVED REPORTS_XR0005049
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Entry Properties
Last modified
9/16/2020 1:16:13 AM
Creation date
3/18/2020 4:36:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005049
RECORD_ID
PR0545572
PE
3528
FACILITY_ID
FA0006855
FACILITY_NAME
ECKERT COLD STORAGE COMPANY
STREET_NUMBER
757
STREET_NAME
MOFFAT
STREET_TYPE
BLVD
City
MANTECA
Zip
95366
APN
22104041
CURRENT_STATUS
02
SITE_LOCATION
757 MOFFAT BLVD
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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..• GeoAnal tical Laboratories, Inc. Lab Report# -- $ <br /> y Regulatory es ❑ No <br /> ridgmI405 Kansas Avenue Phone: (209) 572-0900 O <br /> Modesto, CA 95351 fax: (209) 572-0916 Regulator-. <br /> Phone: (ZPS) <br /> Client: w N /NC CHAIN OF CUSTODY rax: ( ) <br /> Address:- R: (9. 1o: l✓L f`� <br /> City 0.4-le— Zip <br /> Project ID ECK,09/Z-7— C&C�,( eek- G'r4- � � Lab Use Only <br /> (Print Name <br /> Sampled By /¢ � 4CA �t2UA) o y �/ <br /> (Signature) Container <br /> Sample type ` Lab ID# 0 <br /> Date TimeSample ID rw <br /> GGraahh Comp Matrix type Size <br /> 6 3 Remarks K 3?5�5j_Z <br /> /0: yy Irn ws 3 t <br /> .3�5 S <br /> 2 y M w 3 3 SS`s <br /> 9 7 Vi9#- 3 3 8 <br /> Remarks <br /> 1)pt time Rc'civcd b t�Si <br /> y n tri) Date line <br /> Relinquishttl by(SignatutL) 6—�—�•rjt\ � <br /> Relinquished by(Signature) D:uc time Reccivcd by(Signa n ) Date Time <br /> Preservativ . )-4° (D-HCI (@-NaOH ®-Na,S203 0-HNO, &H2S O4 7Q-Other ®-Other <br /> Sile Time: Driving Trow: Total Hours <br /> Start: Finish: 'total Hours: Sears; Site Arrival: x2= <br /> Milene: _ �_ Approved By: <br />
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