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ARCHIVED REPORTS_XR0004604
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545482
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ARCHIVED REPORTS_XR0004604
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Entry Properties
Last modified
3/10/2020 12:53:31 PM
Creation date
3/10/2020 8:55:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004604
RECORD_ID
PR0545482
PE
3528
FACILITY_ID
FA0005075
FACILITY_NAME
DONS MOBILE GLASS
STREET_NUMBER
151
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
953365719
APN
21941015
CURRENT_STATUS
02
SITE_LOCATION
151 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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I D T <br /> 8084 QLD AUBURN ROAD CHH CONS'T'RUCTION <br /> ' CTTRUS HMGHTS, CA 95610 ❑ SERVICES, INC I IC 6Q JOB_# <br /> la (916) 723—T776 # £j40fi <br /> e.rr....,...I* LIC #605350 8084 OLD AUBURN ROAD CITRUS HEIGHTS CA 9h610 <br /> l <br /> CHAIN OF OUST PO #_ <br /> JOB NAME LAB �]- <br /> PROJECT MANAGER SAMPLES COLLECTED BY `7 ' <br /> SAMPLE TYPE <br /> SAMPLE TYPE ANALYSIS ' <br /> 0. m SAMPLE LOCATION DATE TIME NO CONTAINER(S) REQUIRFD <br /> o SOIL AIR WATER <br />'013 <br /> PRINT ME AFTER SIGNATURE ' <br /> RECEIVFD BY DATE/TIME <br /> • <br /> I2 Q}UISHED Y RECEIVED BY ' <br /> DATE/'1IML <br /> RELI[VQUfSIiED BY RECEIVED BY DATE/TIME ' <br /> RECF]VED FOR LABORATORY BY DATE/PIME <br /> METHOD OF SHIPMENT ' <br /> DISPOSITION ' <br /> [:] STORAGE ❑ REFRIGERATOR ❑ FREEZER <br /> TURN AROUND TIME SECURED <br /> ❑ 24 HOURS ❑ 3 DAYS ❑ I WEEK2 WEEKS ❑ ❑ <br /> YES NO <br /> NOTE: PLI'ASF HAVE FACH DATA SIIEE'I SIGNED BY Cru, IST <br />
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