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ARCHIVED REPORTS_XR0004666
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545482
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ARCHIVED REPORTS_XR0004666
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Entry Properties
Last modified
3/10/2020 12:53:44 PM
Creation date
3/10/2020 9:06:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004666
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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war �w war ■w �w ww ww rr war ■w rw w ww w_ �r <br /> Erste Analytical Labs, Inc. Chain of Custody 1 Analysis 3334 Victor Cort (408) 588-0200 ys s Request <br /> Santa Clara, CA 95054 (408) 588-0201 - Fax <br /> Alta rihun to P ne No Purchase Order No Send Invoice to (tl Different) Phone <br /> 2 5) 300 <br /> C,ontplry Mame Fax No Project Number Company <br /> Tc 3 2559 I f 75 -7501 <br /> Mdlllllg Address Project Name Billing Address (a Different) <br /> 1, c- oafcN Dr` 567c tUO MANG C <br /> Gly State Jz3P Project Location City State Zip <br /> 'i�F��,l�r f n t CF q`{58f3 <br /> S mipler <br /> Saida Day ❑ O <br /> Lo�' Turn 24 Hour ❑ p 'oti p <br /> 4Ia <br /> Around 48 Hour ❑ is <br /> Date <br /> Time 72 Hour ❑ �ry O u� o ry° A uw <br /> 1 - 23 01 Standard <br /> Order ID m > <br /> Sampling .' dJM <br /> 4A M £yryb° me°mea y� �m y° <br /> X d YE if <br /> d <br /> 45 O - O <br /> Client ID LaboratoryNo Date Time M U l� U <br /> K ruin- - 6 qz' r-z3o1 !) [ l 3 1�Ci x <br /> RK Mv4- 617 x <br /> 5Rr, MVJ- J —C Icy= X <br /> 't- NiVJ- — /Zld x <br /> F r- UJ- 1 e-� 113c, <br /> - 3 <br /> 11 V)C6 <br /> I r' yC lir`1 K <br /> r ru sl r y Received by D Time Special Instructions or Comments NPDES Defection Lrmris <br /> ,r2)I� U r OCl <br /> f+eill qw Jl eb yyll Lve y r, Dile I kTime <br /> he t <br /> Helmqu yd 77y a rve by Date Time <br /> Metals Al, As, Sb, Ba, Be, B, Cd, Ca, Cr, Co, Cu, Fe, Pb, Mg, Mn, Hg, Mo, Ni, K, St. Ag, Na, <br /> Hr ro.sncd by Received by Date Time Se, Sr, TI, Sri, Tt, V, Zn, W CAM-17 ❑ Plating ❑ PPM-13 ❑ LUFT-5 ❑ <br />
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