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ARCHIVED REPORTS_XR0006619
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_XR0006619
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Entry Properties
Last modified
9/29/2020 10:18:55 PM
Creation date
8/5/2020 4:00:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006619
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
Scanner
LSauers
Tags
EHD - Public
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3404 <br /> Trace Analysis Laboratory, Inc. Telephone (510) 783-6960 <br /> 3423 Investment Boulevard 48 • Hayward California 94545 Facsimile (510) 783-1512 <br /> wiw. a . <br /> CHAIN OF CUSTODY RECORD <br /> .�W___ <br /> ...= <br /> Proj.No Project Name J <br /> /( S(0 0 r-' 1 t, r , No. <br /> r r Analyses-/ <br /> Company Name and Address <br /> of <br /> Project Manager <br /> Sample Date Time Site Location Con- <br /> ID tanners / /� / �/ / / / REMARKS <br /> XXJ I <br /> L , � }� �<A <br /> iu =+ �� �. x/\/,/,I <br /> x d V! z lc.+ <br /> x\/\I <br /> L3 r �(i SCJ <br /> Sampled by (signature) Date/dime Relinquished by- (signature) Date/Time <br /> Received by: (signature) Date/Time Relinquished by- (signature) Date/Time <br /> Fed f,, W�_) A <br /> Received for Laboratory by (signature) Date/Trine TURNAROUND TIME <br /> 7/7/55 9 - fat <br /> REMARKS <br /> ��K � ,�•3S�-a-��a-�1��� � �C� aS�C r_ }�, � day <br /> i I I III <br /> E I I Founding Member of the Assocratrort of Cafrlornra Testing Laboraforres i <br /> r4 I I i j l i i'i i I <br /> it I I �`I I I` i' I I I i I {II `fl <br />
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