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ARCHIVED REPORTS_XR0005600
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_XR0005600
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Entry Properties
Last modified
7/27/2020 6:55:17 PM
Creation date
7/27/2020 4:29:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005600
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
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LSauers
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EHD - Public
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ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY- LAIR TRACKING <br /> -oy <br /> RECORD OF DATE RECIEVED <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LAB INVOICE TO ---------- ------- <br /> f?"lv)e - -'t <br /> -------------- ------ <br /> -------------------! <br /> 10624 OLIVE AVENUE,OAKDALE,CA 95361 .. ...... ------ <br /> OFFICE-(209)847-8757 ap--- <br /> -7744 --------------------------------------- <br /> FAX -(209)847 =--,CONTACT NTACY <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> IV-,Ann <br /> a "fir <br /> OB# ...................I <br /> SLS REQMIED <br /> W ANALV SITE SAMPLING MAP <br /> C4 <br /> cuoi -T coNsuLTANT <br /> SHE NAME PROJECT <br /> _ADDRESS crry 0 <br /> SAMPLER SIGNATURE <br /> CD <br /> SKIPPED VIA WAYIBH.L# <br /> 4 A <br /> ANALYSIS BY Sjwk!C--.j7lt TURNAROUND TIME 9R AD b) DAY(S) 14 <br /> SAMPLE I D DATE TIME' CONTAINERS TI P8 MATRIX <br /> REMARKS/LAB ID <br /> L) �YA�)-6 lbna�rl- <br /> 2) tLtA...') t il 7 -1 <br /> 3) <br /> 4) T rig%E RE"- IN <br /> 1� ALL- r <br /> 2.1p <br /> 7) <br /> RIL Ay,,-f najgllb4-5� <br /> 12) <br /> 13) <br /> 14) <br /> 15) <br /> RELNQUISMO Di REMWIM BA <br /> SAMPLE INLEGR TY1 CONDITION <br /> NA"MD (SENATURE) RECEIVED COLD Rf INTACT I YES f,"I NO <br /> RELINQUISHFD 81 WMWED R) DATE II�YE AIR BUBBLES IN V 0 A S I YES NO(gd LINE(S)It <br /> 1pc1lF <br /> (SKMATUREJ <br /> JUNATURE) E. CUSTODY SEALS INTACT ! YES 7 NO NIA <br /> DADATE ITI <br /> RELINWISIEDBI TE NIMS RECEIVED 61 ME PRESERVATIVES USED t IES (X NO <br /> O <br /> ( <br /> JIM 4M <br /> i (SMATURE) Q L lAr-1, <br /> NOTE PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE FULL HOLDING 11ME ALLOWED UNLESS OTHER ARRANGEMENTS AM MADE (MT.BE TAME,ETBE,DIP.E TBA) <br /> B B -BAILER BI AN KS COLLECTED IN TUM FIELD FB -FIELD BLANKS COLLECTED IN THE YIELD <br /> tlwv vivins-nin 11rUTTV N I Vf I n1V '"I AA W PTt3 as NAW VC <br />
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