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COYDM19ZG (3)
EnvironmentalHealth
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99 (STATE ROUTE 99)
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2500 – Emergency Response Program
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COYDM19ZG (3)
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Entry Properties
Last modified
11/19/2024 1:56:52 PM
Creation date
4/14/2021 12:10:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COYDM19ZG
PE
2546
FACILITY_NAME
NB HWY 99
STREET_NUMBER
0
Direction
N
STREET_NAME
STATE ROUTE 99
City
MANTECA
Zip
95336
APN
NEAR 20603001
ENTERED_DATE
8/20/2020 12:00:00 AM
SITE_LOCATION
NB HWY 99 NEAR FRENCH CAMP RD.
RECEIVED_DATE
8/20/2020 12:00:00 AM
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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HIGHLIGHTED AREAS MUST BE FILLED OUT PRIOR TO ACCEPTANCE CALIFORNIA <br />LABORATORY <br />ER V IC ES <br /> <br />CLS ID No.; '1'41°91' LOG N° 204428 <br /> <br />CHAIN OF CUSTODY <br />, <br />REPORT TO: CLIENT JOB NUMBER PRESERVATIVES > <br />ANALYSIS REQUESTED GEOTRACKER: <br />EDT REPORT 0 YES 944° GLOBAL ID: altr•091L. , ii,"- <br />DESTINATION LABORATOFYY <br />91W-5-44:2•464r ...g, ,s7., 5ePe._‘40 .sisliiir <br />ECLS (916) 638-7301 CDPH WM ON EDT TRA)SMISSION? DYES 13 NO <br />1 STATE SYSTEM NUMBER <br />• ..1% ...i.„ itif ii.o.t eti v, 6 JZI,Asird_77-4, 24F 110 3 FITZGERALD <br />RANCHO CORDOVA gCt42 IF ••TES" PLEASE ENTER THE SOURCE NtRIBERIS). <br />: 72iritzei6 COMPOSITE. 0 OTHER <br />./CEDEscroonoN <br />TURN AROUND ME SPECIAL INSTRUCTIONS <br />M <br />AE,FM100.0 <br />ife4 .AtT ' <br />OR <br />VT11* .14,.41- r. 1 <br />SAMPLE CONTNNER ALT. 10: DATE TIME IDENTIFICATION *-- MATRIF <br />Iervt, -.2) io..fe eon'," ..I le', / _.gdP.W reA <br />PAK= Itt <br />p0• <br />QUOTE • <br />Email/Address <br />PRIVIDIVXDVES: ID Htfl Of • 0:1L1) 0 A HeRaf cn - <br />PRINT NAME / comasy RE We (SIGN) DATE / TIME RECEIVED BY (SIGN) PRINT NAME I COMPANY <br />.‘,--/i., <br />REODAT LAI Ite (.."..:2ii MIII i MIL e g 1.7 ci 2 3.2._ cetromotarootruorrs 2_. ,6 <br />SHIPPED BY: 0 FED X U 111 OTHER AIR Bill *
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