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ARCHIVED REPORTS_XR0006759
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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853
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2900 - Site Mitigation Program
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PR0508124
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ARCHIVED REPORTS_XR0006759
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Entry Properties
Last modified
7/27/2020 3:16:07 PM
Creation date
7/27/2020 2:17:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006759
RECORD_ID
PR0508124
PE
2950
FACILITY_ID
FA0007949
FACILITY_NAME
7 ELEVEN #21756
STREET_NUMBER
853
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22332015
CURRENT_STATUS
01
SITE_LOCATION
853 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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LSauers
Tags
EHD - Public
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F <br /> OS ANGELESpate•RECEIPT CHECKLIST <br /> Quantims Lot # G Quote # <br /> bent Name. Project: <br /> Received- <br /> Received by'_ Date/Time Recewed• <br /> Delivered by .❑Client ❑Airborneed Ex ❑DHL []Ultra-Ex ❑Rey B <br /> []UPS ❑DES []Other <br /> ................................. <br /> .................................................... Initial / Date <br /> Intact []Broken lane .. ••-•••••"" <br /> . . .. ....... . . ...... <br /> Custody Seal Status �].No. . .Seal # .. ..... .. <br /> Custody Seal #(s) <br /> Sample Container(s): <br /> [DST Client ❑NIA ................ ...... ...................... <br /> Temperature(s) ICOOLER/BLANK) in °C S___Z) (CORRECTED TEMPI. •- • - - <br /> Thermometer Used : OR (Infra-red) ❑Digital (Probe) ............................................. <br /> intact LJBroken ter 9999�........ <br /> Samples: <br /> Anomalies. o ]Yes (See Clouseau) ..................................... <br /> Labeled by ............ ........ .................... . <br /> ............... ......................... <br /> Labelingchecked by .................. . .............................. ... ...... ............................... .... <br /> Turn Around Time•❑RUSH-24HR ❑RUSH-.48HR ❑RUSH-72HR ENORMAL ...... . <br /> Short-Hold Notification. ❑Ph ❑Wet Chem ❑Metals (Filter/Pres) ❑Encore E3N/A ... <br /> outside Analysis(es) (Test/Lab/Date Sent Out) <br /> ................. <br /> i <br /> ****woo••' LEAVE NO BLANK SPACES , USE N!A .`96.00. <br /> H <br /> Fraction -9N/A <br /> VOM r 3 <br /> c KxSa n.tWO� rtlo+Os-F•da l�e.d rc�rG�o��b l�m.d <br /> L* 1-XZum:ber <br /> . ra5am-nit7ds� snrl+eeAce SfamsSne YVOA <br /> M J_ cGe new Gina Bock AGLAMb-GLM J- AGB-4jr6w Gine Bole M P*BOOM <br /> or VO A's wl Sesdsp9ce present <br /> REVIEWED BY/DATE: <br /> LOGGED BYIDATE. 7 �-•-- <br /> 000003 <br />
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