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ARCHIVED REPORTS_XR0006216
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_XR0006216
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Entry Properties
Last modified
9/29/2020 10:12:09 PM
Creation date
8/6/2020 9:53:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006216
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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Pox y of Lab Report and COC to Chcvron fact ❑ No <br /> Chain—of—Cu d -�R6fCorc <br /> Chevron Focl]1ky Number 9-184$ <br /> 1257 Yosemite West Manteca CA <br /> Chevron Conlocl (Mama) Brett Hunter <br /> Chevron !l S.A. Inc. Faofllty Addroe° (Phony) (510) 842-8695 <br /> P O BOX 5004 Consultant Project Number Q —'�//Blaine Tcch SSequflla <br /> crV1Ceb, The La6orolory Nam* <br /> Son Ramon, CA 94583 Consultant Namo <br /> Laboratory Release Number 9033754 <br /> FAX (415)842--9591 Address 1680 Rogers Ave , San Jose, CA 951.12 <br /> Samplae Collected by (Namo} �� <br /> Project Contact (Nome) Fran Thle �` —� <br /> C°llsallon DataIt <br /> (Phone}408-573-0555 (I ox Numbar} 108-573-7771 <br /> Signature <br /> �f a <br /> Analyses To Be Parforme GZ>�2 OL <br /> G 2U e 2 <br /> r a <br /> x{ q <br /> k S S e 1 V U l4' 1l If <br /> E Z �U 0H Z �";� R X LL 0 R, <br /> Z a 1 t a *1:2 E ° d o 0 x <br /> n n, <br /> E 1 X C .° � 1w ° Lraoa 12 <br /> Remarks <br /> G -1 3 w 8J ,Nc/ �� x <br /> 52' <br /> c-3 Sys <br /> Z; fi+llnquls By ISIZ06 urs) Organlxallon Dalerllme Raaelyed By (Slgnalure) Organization Dale mo <br /> Turn Around 71mv (circle Chalos) <br /> M 75 Z ! ' <br /> z� a lr,. <br /> 1ielln eked By f ignaturs) OrganlsaUon Aol /nmo Recolvod Dy (Slgnature) Organization D le/'Tlme 48 tiro. <br /> i U/M <br /> 5 Days <br /> 11 - <br /> R+I1nquleh+d By (Signature) Orgonlxallon - Reclev+d ! / nut s} ° 10 Days �_ <br /> �Qal a � As Contracted <br />
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