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ARCHIVED REPORTS_XR0005597
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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1985
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2900 - Site Mitigation Program
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PR0543949
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ARCHIVED REPORTS_XR0005597
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Entry Properties
Last modified
7/27/2020 6:32:36 PM
Creation date
7/27/2020 4:28:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005597
RECORD_ID
PR0543949
PE
2960
FACILITY_ID
FA0024995
FACILITY_NAME
TED PETERS TRUCKING COMPANY
STREET_NUMBER
1985
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20014019
CURRENT_STATUS
01
SITE_LOCATION
1985 W YOSEMITE AVE
P_LOCATION
04
QC Status
Approved
Scanner
LSauers
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EHD - Public
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-- ANALYTICAL REQUEST/SAMPLE} CHAIN OF CUSTODY -- I AB TRACKING a <br /> RECORD _L Of 1 DATE RELIEVED - ---- — <br />� <br /> I AB INVOICF T <br /> O - <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES liol �`� � � -p, � � t��� <br /> `� o <br /> t - - ---------------- - <br /> 10624 OLIVE AVENUE,OAKDALE CA 9536I - - - <br /> OMCE-(204)847-8757' �) i 1 l�1 CONTACT ---- <br /> FAX <br /> --FAX -(204)847-7744 <br /> CALIFORNIA CONTRACTORS LICENSE#657366/CLASS A ENGINEERING <br /> OB# -------------------INVOICE# <br /> I I I 'I IIP I I I Ili, 1 I I III I'n n�II III { r il,,,111f ' I [i!"II'i�II'!''�u�'" 9 I!f 1.1'.lo'I�! Ali a ,II ;rl , i I, I i LAB ANALYSIS REQIIFS7FD SITE SAMPLING MAP <br /> fl lllll�Ill I # IIII II ,II I ElI, a I ! L� fJ p y�l q T <br /> GLIEN! y CONSULTANT bi F���� Cy 1 V 1 `� <br /> SITE NAME PROJECT C�l,l 1� a I op <br /> l� ,� I� O °yj <br /> ADDRESS I CIIX ST y <br /> SAMPLER SIGNATURE I--i O `� = c rn tJ <br /> SrWTED VIA WAYBILL.# <br /> x ac e a w r6 4 <br /> ANALYSIS BY TURNAROUND TI?dE 15ZTpTmn DAY W w w <br /> III <br /> SAMPLE LID / ATE TIME CONTAINERS <br /> TYPE MATRIX I!I If,i li ! III II Illi II Illllii I��I� I ill�ill (1€'III 'IIII,I REMARKS SLAB I D <br /> f) <br /> 24 � f V�`) - r 3 V 4�,L a•�8 � <br /> a' 5� 0�'1� � T� <br /> s) o L 0 �. <br /> 6a 1 Y1 ti' 0 DI) <br /> 6) <br /> 9) <br /> 10) <br /> [1.) <br /> )z) <br /> I9.) <br /> 1s) <br /> oATpEsr Two SAMPLE INTEGRITY/CONDITION <br /> .1 T .b R1:CFJyFD HY / QU J <br /> itl3a(WLSttw FlyTP <br /> I t^ (SMATURE) r�L� D!L RECEIVED COLO&INTACf! YES NO ( I <br /> TuRmJ DATEITVAF <br /> RECUVEDRy AIR BUB6L.E5 LN V OAS I YPS NO LINE(S) E <br /> kF3aIQULPiPD BY <br /> / (SIONATUPS) r CUSTODY SEALS INTACT I YES { NO f NIA 1 1 <br /> pA"�!TIMF <br /> RLKFIVEDRI PRESERVATIVESLISED 1 YES NO <br /> I�xarQ[nsl�n ay <br /> I (SUNATIIRE) r O V <br /> (MTSI TAMI I I RI 1)IPI T BA) <br /> NATE PLEASE ARC1iIV6TIIESAMPLES SLIBM"Pf)I-0R TIR LULL IIOLI)IN( TIME'All(1WTE)LINLI SS(1TI11 RAARANCL:H(LNISARI MAN <br /> 13 B =BAILER BI ANKS COUT-C7-LD IN Ili[F-IU D I B =I M-1)BLANK,COI I I ('I ka)IN I Lf] 1 11 1 I) <br /> n.uv v+venrnat w"ITF&JELLA)µ TOL.\B WITHSAMPIES LF o)A RE1URh7(1(IIINfµI11kRFSl�l7l 11I•I TF(11( ll( 1•(iRM114E <br />
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