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ARCHIVED REPORTS_XR0005841 CASE 1
EnvironmentalHealth
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ARCHIVED REPORTS_XR0005841 CASE 1
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Entry Properties
Last modified
9/24/2020 1:44:54 AM
Creation date
8/6/2020 11:15:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005841 CASE 1
RECORD_ID
PR0545951
PE
3528
FACILITY_ID
FA0003612
FACILITY_NAME
Yosemite Avenue Arco AmPm
STREET_NUMBER
1711
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
Ave
City
Manteca
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
1711 E Yosemite Ave
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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LSauers
Tags
EHD - Public
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ARCO Pra cts Company ;; Chain of Custody <br /> Division of AllanucRichlialdCompony Task Order No - 9 ' S y <br /> ARCO Facility no / City Protect manager Laboratory name <br /> 6 Z-y Facriny) CN _ _ _ Consultant r�+`� �l]�f(�,� /'lJ/t y <br /> ARCO engineerr 7elapho a n � Telephone no Fax no - - -- - 4 f <br /> K�' �IS(P ST f tri ARCO y/ J r�' Z 4G Q Consultant ��) %L�' j �n Consultanl { /1 I�/L --_ Canuacl number <br /> Consultanl name Address <br /> L�'►��nN /l�s�r>;/ATTR Consullanl l`�� /�' ,9,r9R Ktr i3c.d D .f4+c-140 Y0 p I D I <br /> Matrix Preservation Method of shipment <br /> o <br /> IOU M K <br /> m � <br /> ck m Sod Water Other Ice Acid n $ a a e [] a e <br /> F se w C,z <br /> c� rq m s an ti W W � � $ <br /> Special defection <br /> 3 ti-'L �! �11u f LimltlreportlnQ <br /> li-�g)L z b / D C '� <br /> 6 <br /> A-./ '1 L✓' j ✓ spacialOA/OC <br /> --- - — -- - Remarks <br /> -- -- - W-0 ti l 0 1 <br /> - --- -- - - - -- --- - -- -- — - -- I ab number <br /> ------- - - - -- -- -- - S X93 <br /> Turnaround lime <br /> Priority Rush <br /> I Business Day ( l <br /> Condition of sample �- ft Temperature received C' - -- <br /> illi Hugh <br /> Relin uishad by Sampler D elta / Time yBerved2 Business DaysL) <br /> Relinquished by Date Timeace,. <br /> by -- --_` -- -- Expedited <br /> �� le-)l 6 5 Business Days ! 1 <br /> Relinq6ishad by —� - T Date Time Received by I rsl Dole Time Standard <br /> lr - G l 91-1d Ict 2 o 10 Buetnass Days <br /> Distribution While copy- Laboratory Canary copy- ARCO Fnvuonmontal Enginearing Pmk r opy -Consultant <br /> APPC 3292(2 91) <br />
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