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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
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EHD - Public
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Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue,State E•Sunnyvale,CA 94086.Telephone (408)735-1550(800)287-1799•Fax (408)73S-1354 <br /> Chain of Custody/Analysis Work Order <br /> Chest CA'6 guada Project Id. 15Z. 1001M LAB USE ONLY <br /> = Address 16o Pwchase Order# <br /> ompany- Te ep one Sempks arrived chilled and 'intact <br /> 5ta, <br /> Contact C(�oY�lo-�� ��b3 5(6b Yes No <br /> Telephone 0 CGol) ?+1 og5 pecca cticm mments Nates � <br /> - Date Rec&ed jgr Z <br /> — - Tum Around 10(7— <br /> Sample in(wMation ReqUeStednm <br /> / b <br /> r <br /> Grab/ Date Time Sample l� _ <br /> -- - Lab# ,Sam le ID Com orlte {Ylatru Collected Collected Pres. Container <br /> -0910/9101 W- 1( IM uoo�s ?C <br /> ltJp W -- 1l-11 l34 - <br /> /t! (l-21.134 --s B <br /> r <br /> Rdwq 8v RemVi d By Unite 1 l n T /7 <br /> Rdmq Ih _ ROMVW By <br /> E <br /> "q!BV RemYed th Daae Tem , <br />
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