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ARCHIVED REPORTS_XR0005727 CASE 2
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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YOSEMITE
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1711
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2900 - Site Mitigation Program
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PR0545951
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ARCHIVED REPORTS_XR0005727 CASE 2
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Entry Properties
Last modified
9/24/2020 12:51:53 AM
Creation date
8/6/2020 11:29:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005727 CASE 2
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 ProddlWomparry NEW Chain of Custody Pagel 0i t <br /> Work Authorization No 27374 00 <br /> ARCO Factidy No ty,State(Faa rr) P(Dioct Managar(Cor"l42,)t) IF <br /> ro act Na iCor►aul'anta Laboratory deme <br /> 106020 1711 L• YasemlteAva Mar:leca,CA Rust Bankos Itop 56020004050 S uoia <br /> ARCO Engrnoer ARCOTolophano No Telephona No (pormuiiano UNO (Pomuhanty Global ID <br /> Paul Sup to 31R2#lti B89t 91 B 861 0400 916 863 Ou13Q Tflti487704873 <br /> Consultant Corrrprtny Consultant Address Method ar S7 0873 <br /> SECOH-SIRC 3017 Kilgore lad,Ste 100.fiarwtto Cordova.CA9687d <br /> pmem <br /> Matrix Prov, <br /> a SpeaaE Uotectlan <br /> oar t�n�lRoporGng <br /> ui' <br /> ULLF <br /> a ,° °° <br /> ff <br /> E _p? y i . <br /> 03 W & _ + <br /> d LLT <br /> LL 5 <br /> mw-6 x x ;�-�. t';r� x X x 1 7 4 spe�tal�ar� <br /> raw-8 x x 0 x x x ID <br /> MW-7 x x /qX0 x x x in Sub'd COG Attchd <br /> MW-8 x x 13G9 x x x <br /> i4 <br /> mW-9 K x 1 x x x1 110 <br /> MW-11) x x I G x I x x <br /> 1� <br /> COTO x x S•d 16So x x <br /> Lu <br /> SampTo nocdtvcdtnlaeL Yes NO Temporaturamcowed 10,30c"iCo N*tor: <br /> Rcl�tq,by sorplar(Sign&Print i4amaJ Dato 1 imo R theby[Rion 1 Lat)Work N; <br /> Ftel i7 Gy Ont 7—Tumc 06(5 ' ed b <br /> ICA <br /> Re` R0 0 to The Reaetued by laboratory Date -9me <br /> Ftav 11/29135 <br />
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