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ARCHIVED REPORTS_XR0004599
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0507835
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ARCHIVED REPORTS_XR0004599
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Entry Properties
Last modified
3/5/2020 12:41:15 PM
Creation date
3/5/2020 12:01:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004599
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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16 AIR TOXICS LTD. <br /> ' AN ENVIRONMENTAL ANALYTICAL LABORATORY <br /> WORK ORDER M 0412193 <br /> ' Work Order Summary <br /> ' CLIENT Ms Jenny Wcese BILL TO Ms Jenny Weese <br /> Geological Technics Geological Technics <br /> 1101 7th Street 1101 7th Street <br /> Modesto,CA 95354 Modesto,CA 95354 <br /> PHONE 209-5224119 PO #t 075406) <br /> ' FAX. 209-5224227 PROJECT# 662 2 Cardoza(Super Stop) <br /> DATE RECEIVED 12/09/2004 CONTACT Taryn Badal <br /> DATE COMPLETED 12/22/2004 <br /> RECEH T <br /> FRACTION# NAAM TEST VAC./PRES, <br /> INA EW-2 1600 Modified TO-3 Tedlar Bag <br /> 02A EW-2 2400 Modified TO-3 Tedlar Bag <br /> 03A EW-2 800 Modified TO-3 Tedlar Bag <br /> 04A Lab Blank Modified TO-3 NA <br /> 05A LCS Modified TO-3 NA <br /> 05B LCS Modified TO-3 NA <br /> CERTIFIED BY DATE 12/22/04 <br /> ' Laboratory Director <br /> Certfication numbers AR DEQ-03-084-0,CA NELAP-02110CA,LA NELAP/LELAP-Al 30763,NJ NELAP-CA004 <br /> NY NELAP- 11291,UT NELAP-9166389892 <br /> ' Name of Accrediting Agency NELAP/Flortda Department of Health,Scope of Application Clean Air Act, <br /> Accreditation number E87680,Effective date 07/01/04,Expiration date 06/30/05 <br /> Air Toxics Ltd certifies that the test results contained in this report meet all requirements of the NELAC standards <br /> This report sball not be reproduced,except in full,without the wntten approval of Air Toxics Ltd <br /> 180 BLUE RAVINE ROAD SUITE B FOLSOM CA-95630 <br /> (916)985-1000 (800)985-5955 FAX(916)985-1020 <br /> ' Paae 1 01`9 <br />
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