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ARCHIVED REPORTS_XR0004581
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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290
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2900 - Site Mitigation Program
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PR0507835
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ARCHIVED REPORTS_XR0004581
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Entry Properties
Last modified
3/5/2020 1:00:03 PM
Creation date
3/5/2020 11:42:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004581
RECORD_ID
PR0507835
PE
2950
FACILITY_ID
FA0007793
FACILITY_NAME
SUPER STOP MARKET
STREET_NUMBER
290
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
22309101
CURRENT_STATUS
02
SITE_LOCATION
290 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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r7 r-7- r---� r-7, r--7-T P" r-7, C" <br /> ' 4 <br /> HAIN OF CUSTODY RECORD ""TO: SHERWOOD LABS <br /> P.O. SOX 937 <br /> ��wood 8071 N. Lander Avenue HILMAR, CA 95324 <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> L (209) 667-5258 Attention: Phone: <br /> of C O R P O R A T I O N FAX (209) 667-2581 VICKI HUBIS 209-667-5258 Page of <br /> Job Number P.O.# Project Name <br /> C;TJ <br /> Samplers:(Signature) Site Address �� € <br /> NUMBER TYPE t' <br /> SAMPLE LOCATION DATE TIME SAMPLE k`. <br /> OF {GRAB'OR i <br /> (IDENTIFICATION) (MTH/DAYNR) (HOURIMIN) MATRIX <br /> CONTAINERS COMPOSITE) �. REMARKS <br /> _ r <br /> • <br /> i - <br /> Relinquished By:(Signature): DateMme Received By:{Signature) Dateffte TURNAROUND TIME <br /> f J., <br /> t#elinquished 9y:(Signature)' Datelrime I f 'Received By_(Signature) D'ateffllme r 24 HOUR 0 <br /> j g f. t48-HOUR ❑ <br /> �t:'i' ; '"a`�c;.��` /�; ' :� � �,:4_�`+�,£`-[i' tom;t�,�"-? :� f� ,c� � „� <br /> Relinquished By:(Signature) Date7rrime Received By.(Signature) Daterrme AY <br /> DISTRIBUTION: Original-Accompanies Shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangemenisj, rW, ade. <br />
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