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ARCHIVED REPORTS_XR0006476
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_XR0006476
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Entry Properties
Last modified
9/29/2020 10:09:28 PM
Creation date
8/6/2020 10:04:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006476
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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Analysis Request'Chain of C#---�ody <br /> Chevron Calffbmia <br /> For Lancaster Laborstorles use only raV Qa <br /> �CiCaSfeT ]Ol d#i0C[eS _ d ploy Semple#y L151--y j <br /> MwecLa►rrytsasoence <br /> Cambria MT1 Project # 61H-2043 Analyses Requested <br /> Faculty# SS#9-1848 G-R#386392 GLOBAL .ID# 70607700493 Matrix Preservation Codes Preservative Codes <br /> H=NO T=Thiosutfate <br /> Site Address_ 1257 W. Yosemite Avenue, Manteca, CA N=HNO3 B=NaOH <br /> S=H:SO4 O=Other <br /> Chevron PM MTS _-Lead Consultant CAMBRIABB <br /> Q ❑❑ chi J value r epartmg needed <br /> Consultantiolfice G-R Inc 6747 Sierra Ct Dublin CA 945681 C3 <br /> a "Must meet lowest detection Ilmtts <br /> Consultant Pr) Mgr Deanna L. Harding deanna@grinc.com x possible for 8260 compounds <br /> Consultant Phone# 925-551-7555 Fax# 925-551-7899 ❑ `o g� © 8021 M79E Confirmation <br /> Confirm highest hit by 8260 <br /> Sampler _ ►�•, �_G�rto,V -- m O Confirm all nits by 8260 <br /> Service Order# ❑Non SAR "' ❑Run_oxy a on highest hit <br /> Date Time 0 o o '� ❑ <br /> Sample Identifleatlon Collected Collected 0 v m 3 O ` ❑Run axy s an all hits <br /> GA i /2y/or yrl 12" yilyi Comments 1 Remarks <br /> it W, V k <br /> 1717 X v <br /> `10 Y <br /> Turnaround Time Requested(TAT)(pisses dn:Ie) Relinquished by 9ate Time Received by Date Time <br /> qu � <br /> TD 72 hour 48 hour Relinquished Da Time Received by to Time <br /> 24 hour 4 day 5 day <br /> Dater Package Options(please circle if requlrod) Relinquished V ate Time Received by z 6 to Time <br /> QC Summary Type i—Full � 30 A L aS <br /> Type Vl(Raw Data) ❑Coen Deliverable not needed Relinquished by Commerde mer Rby /1 X�'1}1 le Time <br /> WIP(RWQCB) UPS er 1 OC <br /> Disk Temperature Upon Receipt v Custody Seals Intact? Yes No <br /> Lancaster Lbbomtories,Inc,2425 New Holland Pike PO Box 12425,Lancaster,PA 17605-2425 (717)e56-2300 3460 Rev 7130101 <br /> Coples White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />
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