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ARCHIVED REPORTS_XR0006168
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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1257
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3500 - Local Oversight Program
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PR0545949
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ARCHIVED REPORTS_XR0006168
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Entry Properties
Last modified
9/29/2020 10:14:37 PM
Creation date
8/6/2020 9:46:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006168
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
Tags
EHD - Public
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El Yes `r q-�hai 0f—Custod —Record <br /> Fax copy of Lab Report and COC to Chevron Contact L1 No <br /> 9-1846 Chevron Contact (Nom•) SreCt HunCCr <br /> Chevron FarJltty Numbs 9-1848 <br /> est, Manteca 510 842•-8656 <br /> Faolgiy Addrou (Phone) <br /> Chevron USA Inc $D2� �L�r taborets Name SUPERIOR <br /> Coneuttant Project Number % 6177480 <br /> P 0 BOX 5004 BLAINT TECH SERVICES INC Loborotory Release Number <br /> San Ramon, CA 94583 conAddr.outtant Home <br /> 985 TimothyAr San Jose Samples collected by (No") ' U/gIN'a@Iv'B <br /> FAX (415)842^9591 Addne• <br /> Project Contact (Name) Jim Keller colleauon Data <br /> (408) 995-55 (40$} 293-8773 slgnatur� <br /> (Phone) UK Number) <br /> r <br /> I <br /> Analyses To Be Performed <br /> e / `v Z; <br /> t7Ti <br /> a� cQ a <br /> 3nQG� � � O • �� �' L� r <br /> A 1 1 1 a �$ �_ �' F dr+ a� A <br /> S B_ Aa a <br /> rR �+ cauGt ! 2. a cn cn $ci Yg n w <br /> or, t3 <br /> E a E 1 1 E � 6 a$ °% ?L 3 c� Remarks <br /> yg 9 z In w F <br /> C— 3 W Cq l t t ►-ftc– <br /> C-2 3 W oY6 tLc i <br /> G 3 3 w leis <br /> r I <br /> SjE:flE 1t'L:j <br /> 1'� ♦r v l <br /> MEN =troy 11,:�01� <br /> Rd ulah By (Slgnotun) Orynnl:allon D AV By (Signature) <br /> e • ganlzatlon Dote/11ma Turn Around Time (Chole Choles) <br /> "q ar$ r_ I` Xevoc�{ Z T, q!( o5 <br /> a z4 t,<. <br /> o e �a Nn <br /> Lt Of anlzollon Dot ReceNed (Signature) Orgonlcatlon <br /> Nlnqutahed By (S1Wwture) 5 Day <br /> i CiC f+r 0 Z / 10 D <br /> Si lnea For Laboratory-IDy sl nalur• ...�` ie me Conlroote <br /> Fi 0 a^lxat1Qw0-_Dgte/nm• ,p <br /> Rellnqub BY (Slgnat_ur•..) rg- ! / � <br /> ` <br />
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