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ARCHIVED REPORTS_XR0006159
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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YOSEMITE
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1257
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3500 - Local Oversight Program
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PR0545949
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ARCHIVED REPORTS_XR0006159
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Entry Properties
Last modified
9/29/2020 10:12:14 PM
Creation date
8/6/2020 9:45:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006159
RECORD_ID
PR0545949
PE
3528
FACILITY_ID
FA0003707
FACILITY_NAME
AHMEDS SONS INC
STREET_NUMBER
1257
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
20015015
CURRENT_STATUS
02
SITE_LOCATION
1257 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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LSauers
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EHD - Public
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Fax cop* Lab Report and COC to Chevron Contu. ❑ NYeso Chain—of—CusfoRecord <br /> 9--1848 Brett Hunter ' <br /> Chavrnn Facllityr Number Chevron Contract (Name) <br /> Faatlity Address1251 osemite West, Manteca (Phone) 510 842-8658 <br />` Chevron U.S.A. Inc. 6; � / � <br /> — <br /> f P Q BOX 5��4 Consultant Project Number �"U�"U1- Z3 Laboratory Name. � r L <br /> Consultant Name BLAINE TECH SERVICES INC Laboratory Release Number 357�32 7 9 0 <br /> San Ramon, CA 94583 R85 Timothy Dr. San Jose <br /> FAX (415)842-9591 Address Samples Collected by (Noma) <br /> Project Contact (Name) Jim Keller Coilealio ` F�� <br /> {Phone) (408) 995-55,3 (408) 293-8773 <br /> ax Number) slanoturo <br /> Malyses To De Performed +") A/� <br /> a I <br /> L ¢ <br /> e z � a e <br /> go ., <br /> ZAM <br /> E rp (9UO * <br /> � <br /> o L% N n r.+ pE 0X No o� rre 6r 6�r �n a l�J <br /> OCo <br /> Co 1� U <br /> rR z' w r o m �" S a_$ a" �" '" e� ti Remarks <br /> C-10'1 W �i�3� uu� y x <br /> L_ Z dZ <br /> C,- <br /> T13 x <br /> ea S <br /> "Cr <br /> a inquleh (signature) Organizallon Date/`flrne ReogHed By (5[pnatur.)I�,/? Or4apizatlan f)oto/Time <br /> �fij/tip; Turn Mound 7lme (Circle Cholas) <br /> 0 <br /> 24 Hre <br /> Relln ui.hed By ,(Sl nature) OrganizatJon Dale/nmo�+f/�; Received Dy (Signature) Organization Date/Tlme 5 Hn. <br /> � W 5 D�� r� I <br /> i ��o'16oy. <br /> Relinquished by (Signature) Organlsallon Dote/Time R eved For Laboratory By Slgno urs) Date/Tlmrq Z �As Contraoted� <br /> �_ (� t't1u <br />
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