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ARCHIVED REPORTS_XR0006500
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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1012
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3500 - Local Oversight Program
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PR0545948
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ARCHIVED REPORTS_XR0006500
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Entry Properties
Last modified
9/29/2020 10:17:06 PM
Creation date
8/5/2020 3:54:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006500
RECORD_ID
PR0545948
PE
3528
FACILITY_ID
FA0005159
FACILITY_NAME
FILL-EM FAST
STREET_NUMBER
1012
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
21903024
CURRENT_STATUS
02
SITE_LOCATION
1012 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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LSauers
Tags
EHD - Public
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Entech Analytical Labs, Inc. <br /> ti 525 Del Rey Avenue,Suite E e Sunnyvale,CA 94086•Telephone (408) 735-1550(S00)287-1799.Fax (408)735-1554 - <br /> CL Chain of Custody/Analysis Work Order - <br /> ChewProtect ID IF-Z— 100%74 LAB USE ONLY <br /> Addxess ��j .(a 3 rd Purchase Order# -- <br /> Gl <br /> ��A amp er ompan - <br /> � a e� Samples arrnred chilled and mtact <br /> Contact 1A, d �` G�V Yes No _ -- <br /> Special lnstcucti Comments - <br /> Telephone (S tD� " moi — i d vJ, �(D S��tti�►'ts� Notes - — - <br /> Date RecewedC- <br /> �ZY <br /> Turn Around1 `C _ <br /> Sample Information Re uested Ana — <br /> _ �K <br /> Grab! Date nine Sample d ��"'.0 — <br /> CS Lab 4 Sample ID Com osite Matra Collected Collected Pres, Container �0 w — <br /> o - <br /> 'X;50 z� g Gc�b vi 4TH. ca-ro- Io 3Q N (orc\SoA <br /> CE <br /> zo <br /> CE <br /> LLJ <br /> -a�so <br /> 4XV044 <br /> q6ff X, Y - - <br /> Y) ReLmq By RMO%ed 05 Date <br /> z <br /> cc Relmq 131 Rcw%ed B% T Date�y `- Tome l — <br /> Relmy 3% Rcaenved By Date Ttfnr ' —i 2 - <br />
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