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ARCHIVED REPORTS_XR0006664 CASE 1
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0500097
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ARCHIVED REPORTS_XR0006664 CASE 1
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Entry Properties
Last modified
7/23/2020 3:29:50 PM
Creation date
7/23/2020 3:23:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006664 CASE 1
RECORD_ID
PR0500097
PE
2950
FACILITY_ID
FA0001329
FACILITY_NAME
PONTES QUICKI KLEEN CAR WASH
STREET_NUMBER
707
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22323013
CURRENT_STATUS
01
SITE_LOCATION
707 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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LSauers
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EHD - Public
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I <br /> CHAIN-OF-CUSTODY&COPD - <br /> DATE PAGE ( OF4QKmzanI <br /> KRAZAN & ASSOCIATES, INC Comments REQUESTED ANALYSES Po ""tuber <br /> 215 WEST DAKOTA AVENUE e—V <br /> CLOVIS, CA 93612 " Ice chest No <br />� (209) 348-2200 VOICE � Laboratory <br /> (209) 348-2201 FAX N <br /> Project Name a r <br /> Project No 3 9 Of[a 3 ii aP 9 � `� Lab Quote No <br /> (optional) ¢ o <br /> in O u x <br /> r rR ua+i m a a <br /> Sampler Name /I Report n �i' 0 a a <br /> (Pnnied) ^L/7G+B /T] (/ Z Attention ` n-j S °1 °1 co <br /> w c a a J Method of Sh+pmenUDel+very <br /> Lab Sample Krazan Date Time E 3 E E E 4 a ¢ ¢ <br /> to ax,a� Sample No Sampled Sampled Sample Descnphon o�d rn city o N� z' c� � �a. h W W 1 Remarks <br /> ti� 3U 5��� sr��►c 'i S p N I X <br /> r <br /> r ' 3 3 2. 6 p- FaW G !t/hLY S1 S <br /> 33& '2- <br /> 3$ 2- s <br /> 1341 AAIALV�a <br /> I <br /> +fLLJ I oW Ntniber or U&W=— <br /> �i r3`k ;'s '`:`If$I itatUfl3 5 f Printed Na* 'p " ,; Date, Time g' y ° Company Name <br /> Relinquished b y - -'f 7 Turn Around Time <br /> Received by am pm (Circle Choice) <br /> Relinquished by flrnPM 24 Hrs 48 Hrs <br /> Received by 80 pm <br /> Reim uished b - am Pm -- 5 Days tU Days <br /> Reeerved fo _0bora6ry b , [ L s ¢r L /WI �/ _CVL ��`'-t k "(yin r4,6;— <br /> As Contracted J <br /> White-Lab Yellow-Project File Pink-C 0 C Binder OC4 VSD 6 23 98 <br />
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