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ARCHIVED REPORTS_XR0006209
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_XR0006209
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Entry Properties
Last modified
9/29/2020 10:11:14 PM
Creation date
8/6/2020 9:50:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006209
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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EHD - Public
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CA of !_ab Report and COC to Chevron Coact, ❑ NoS 00A01 Ch q ---0 fzCUS. ZR;Clwl <br /> Chevron Faclllly Humber 9-1848 Chavron Contact (llama)BRETT HUNTER <br /> Cltevran Products Co, Facility Address ..1?5Z YnSs'TIiit-e. W- Ms1ILecd - (Phana)�925) B42-8695 <br /> Ganwllanl Pro act dumber. ,�/„10 2- Z t_.X:(,..._._—...— SEQUOIA <br /> P.O. aox saa4 1 BLAINE T laboratory IlOma..... ._ ., .. - <br />' Caneullanl llama <br /> ROGI~RS AVE. , <br /> INC. laboratory Service ardor gIG4GR8 -. ----- <br /> San Ramon, CA 09563 • - . ' :' .: .. . <br /> . ....._..,._,._..— .. <br /> FAX (825)842-8373 Address , , JOSE ry - <br /> iohorala Servloe Code �,ZQ2J3Q(] <br /> Pralecl Canlacl (Nama) CHRISTINE I,ILLIE Sample@ Callecle by (Mame) irk �cSti - - <br /> (Phone) 408-573-0555 (Fax ltumher) 408--573-7771 gignalura "s,-� <br /> State Method, ® CA ❑ OR ❑ WA IJ NW Series Cl CO ❑ UT Ramorl�l <br /> T g <br /> SIR <br /> o � <br /> a� + px � <br /> ++ 4 <br /> Lob Sample IN <br /> Ld <br /> X <br /> t <br /> rl I <br /> r <br /> Bella ulehed 9y (Signalure) Orgjanfnlrallonte/Tlme Race d 0y (5191 ire) Organization 0alefTlmY11b Iced VN Turn Around Time (Circle Cholca) <br /> ELI <br /> Rallnjpfilsd ey (S}g$olure) Organization Dole/Time Received ! nature) Organization Oato/TI Icedr�tl 4tl lin <br /> �� Sc S Cti�• z�L5�7fy`(5� s nays <br /> –– ------- Irl Days <br /> r� Re 1 I'd By ( A u a) Organlzallon 0ale/Timf 61'j) Recleved For io)iargtory 0y (Sl hue) 00116/Time load Y/H Ar—Conrfdi <br /> 2-1 <br />
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