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ARCHIVED REPORTS_XR0006870
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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420
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2900 - Site Mitigation Program
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PR0537485
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ARCHIVED REPORTS_XR0006870
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Entry Properties
Last modified
7/27/2020 5:34:24 PM
Creation date
7/27/2020 3:44:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006870
RECORD_ID
PR0537485
PE
2957
FACILITY_ID
FA0021568
FACILITY_NAME
FORMER RAINWATER CAR WASH
STREET_NUMBER
420
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
21931206
CURRENT_STATUS
01
SITE_LOCATION
420 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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r r r� rr rr �r �r r rr rr r� rr r rr r r� r� rI� rr <br /> Advanced CHAIN OF CUSTODYMECORD <br /> GeciEnvironmental Inc Date l Page of <br /> 837 Shaw Road - Stockton California- 95215- (209) 467-1006 - Fax (209)467-1118 1 T 2 <br /> Che r _ Project Manager 1 <br /> Tests Required <br /> Phone NI.Pber <br /> a lens (Signature) Invoice <br /> AGM= <br /> Project Nam �� � Cilerrt El <br /> Sample Type <br /> Sample Location Date Time WateSolid No of Nates <br /> r <br /> Number Description comp r Air Conts <br /> e uis e y +g eceive y ignature Date ime <br /> cz- 4�3& <br /> Relinquished by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received for Laboratory by J DalelTime <br /> Method of Shipment LaboratoWNAme <br /> Special Instructions I hereby orize the performance of iha above in ed work <br /> 4\� r <br />
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