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ARCHIVED REPORTS_XR0006267
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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Y
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YOSEMITE
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1160
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2900 - Site Mitigation Program
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PR0517411
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ARCHIVED REPORTS_XR0006267
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Entry Properties
Last modified
7/27/2020 12:48:35 PM
Creation date
7/27/2020 11:01:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006267
RECORD_ID
PR0517411
PE
2950
FACILITY_ID
FA0013411
FACILITY_NAME
PAYLESS SHOE STORE
STREET_NUMBER
1160
Direction
W
STREET_NAME
YOSEMITE
City
MANTECA
Zip
95337
APN
21902033
CURRENT_STATUS
01
SITE_LOCATION
1160 W YOSEMITE
P_LOCATION
04
QC Status
Approved
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LSauers
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EHD - Public
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LAB Teat erica sTL Other C .E SH Chain Of Custody Record <br /> Lab Idenllflcall cessary) <br /> ❑TA-Irvine, mla Shell Project Manager to be invoiced INGIDEN.TiNUMBER(E$ONLY) r <br /> ❑TA Morgan Hill,California <br /> ❑TA-Nashville,Tennesee R ""N[00NJ"Er[rALSCR.Vicds Denis Brown 9=41 2 Z Jr 1 Q DATE ICs Ca <br /> ❑STL ❑TECHNICAL SERVICES <br /> 13 Other{location) LoCST 4N SAPkpr C'F(�IiIT tJt114113ER('1'S�I:RM�� <br /> PAGE / <br /> ❑NOT FOR ENV REMEDIATION NO ETiM-SEND PAPER INVOIofCE <br /> SAMPLING COMPANY LOG CODE SRE AIx7RE548Yet1 and Gly Stag GLOBAL IDNO_ <br /> Blaine Tech Services 1160 West Yosemite Ave,Manteca CA T0607791885 <br /> AOPREW EDF DELIVERABLE TO(N—C—pa Oak.LoWJW. 1"N9 NO 9-MAIL CONSULTANTPROIECTNO <br /> 1680 Rogers Avenue,San Jose,CA 95112 p(pp'3I(/rplC.2 <br /> PRO-ECT CONTACT(NMepy o•PAP R'Psrl lol Joe Neely,Cambria,Sonoma 707933-2961 sonomaed cambna-env cam STS 0 <br /> Jason Brown sXMPLSRNruvElsl I., S <br /> TELEPHONE. FAX EaAA4 LA us av <br /> 1i ° lig Yrs a; £ii 5'nl F <br /> 916-925-2913 x 102 918-925-2891 tec F[ <br /> j� ! v WV l/1Ia-Si i s; �I�rx ,{fJ .]' � <br /> �a <br /> TURNAROUND TIME(STANDARD IS 10 CALENDAR DAYS) RESULTS NEEDED <br /> ' ,STD ❑ 5 DAY ❑ 3 DAY ❑ 2 DAY ❑ 24 HOURS ON WEEKEND REQUESTED ANALYSIS <br /> ❑ LA RWQCB REPORT FORMAT ❑ Usf AGENCY <br /> GCIMS MTBE CONFIRMATION HIGHEST HIGHEST per BORING ALL FIELD NOTES <br /> SPECIAL INSTRUCTIONS ON NOTES CHECK BOX IF E00 IS NOT NEEDED db <br /> m ,a rjj Contalner/Preservative <br /> San Joaquin County Reporting Limits n m or PID Readings <br /> or Laboratory Notes <br /> N <br /> DI m N C m m <br /> RECEIPT VERIFICATION REQUESTED� � e� C W <br /> � R Field Sample Identification SAMPLING <br /> MATRIX a = x m m 2 rN pmo r TEMPERATURE ON RECEIPT C° <br /> CONTF ce vt .r I— O 41 W <br /> s r <br /> § r <br /> AW K x <br /> x x X K <br /> I <br /> Y <br /> F � <br /> F <br /> Y <br /> { <br /> n <br /> a <br /> n <br /> ` m <br /> Rellnquuhad by(S7anaWra) m <br /> Received by;S'gnature] t <br /> d, rr�.� paBe TimeRuIrria <br /> QULstlad by(51pnalute) � �� '•�--f-�� - ^r�� I r� �r �� <br /> Receivedby(Swiabue) <br /> Rehnqurshed by(Slpnaeure) Received by(-'aWaturel <br /> Cs 6-- �; 06 rj �do of <br /> O <br /> i inaros Rsvlslon ~' <br /> N <br />
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