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ARCHIVED REPORTS XR0006312
Environmental Health - Public
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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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1048
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3500 - Local Oversight Program
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PR0544939
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ARCHIVED REPORTS XR0006312
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Entry Properties
Last modified
10/18/2019 9:16:22 AM
Creation date
10/18/2019 9:12:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006312
RECORD_ID
PR0544939
PE
3528
FACILITY_ID
FA0000508
FACILITY_NAME
7-ELEVEN INC #17647
STREET_NUMBER
1048
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
21903003
CURRENT_STATUS
02
SITE_LOCATION
1048 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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' STL -- LOS,ANGELES <br /> PROJECT RECEIPT CHECKLIST TDate <br /> / F <br /> uantims Lot # - � ���J.I�6 _ Quote # <br /> Client Name. G » h'�A/—A � _._ Project S%//C, -��%moi / <br /> ' Received by: /rd DateMme Received C 7 `zz <br /> RDDelivered by : Client []Airborne <br /> ed Ex ❑DHL ❑Ultra-Ex Rey B <br /> []UPS <br /> []DES ❑Other <br /> Initial ! Date <br /> Custody Seal Status• Intact (]Broken ❑None .. . . .. . , . . . �, 4' Custody Seal #(s). *1110 <br /> Seal # .• - <br /> Sample Container(s): ❑STL-LABent ❑N!A . . <br /> Temperature(s) (COOLERIBLANK) in °C: 6 o (CORRECTED TEMP) <br /> Thermometer Used (Infra-red) []Digital (Probe) .•• •• ••. . .... ...... •••• •- <br /> ' Samples: T* <br /> tact ❑Broken ❑Other .•••••••••• •• <br /> Anomalies: o ❑Yes (See Clouseau) ....... ....... ...... ........ . <br /> ' Labeled by ............................... • . • . .... •.....• . . ... •..'. . ... . .:.. •.. <br /> Labeling checked by .................. .................. .... .. .. .. ... .., <br /> ..............................................................................................�.. .9., <br /> Turn Around Tme:[]RUSH-24HR ❑RUSH-48HR ❑RUSH-72HRd-ncore <br /> ORMAL ........ <br /> 1 Short-Hold Notification: []Ph ❑Wet Chem []Metals (Filter/Pres) ❑NIA ... <br /> Outside Analysis(es) (Test/Lab/Date Sent Out) <br /> .................... <br /> ................... <br /> •••••••••• LEAVE NO BLANK SPACES: USE NIA•••••••••• <br /> ' <br /> P <br /> Fracn 13 <br /> tio <br /> N!A <br /> ' VOAh r <br /> 1 <br /> 1 <br /> 1 <br /> 1 <br /> ..a..�.�via <br /> .�+ nrt2+n�+A w..r <br /> kwC1lSossmpbw VIVO t <br /> ' crac�a..i+ eotc�dM�+ ��•��. ��►c,�.sem. t�ray Bomb <br /> •Yumber or VOA's wl HO*P2n present <br /> LAGv REVIEWED BYIDATE: <br /> GED BYIDATE: 4 �� °� <br />
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