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ARCHIVED REPORTS_XR0004401
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545486
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ARCHIVED REPORTS_XR0004401
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Entry Properties
Last modified
3/10/2020 4:58:19 PM
Creation date
3/10/2020 3:00:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004401
RECORD_ID
PR0545486
PE
3528
FACILITY_ID
FA0005611
FACILITY_NAME
ROYAL OAKS SAVINGS
STREET_NUMBER
510
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
510 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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r_- <br /> G-eoAnalytical Laboratories y 111C. <br /> 1031 Kansas Ave Phone (209) 572-0900 0 <br /> Modesto Caltfot n to 95351 Fax #(209) 372-0916 <br /> l <br /> CHAIN OF CUSTODY <br /> chem _ f .�./� Phone <br /> Address f e .k` C' CC to <br /> 717 <br /> PROJECT ID /�/t , 7e- c 1.4 ANALYSIS T� <br /> - ) f <br /> No <br /> f 7 <br /> SAMPLED 8Y (signature) con <br /> ifr� r) I)72' f�- _ t� I srs REMARKS <br /> f} <br /> "611mple <br /> Date Time + @ Sample iv l `^ <br /> c�,o 1Camo r I f <br /> r' A` <br /> it ! i 4 <br /> 1 <br /> Relinquished by(stnature) let Time Received by g tKalTimei r - _ <br /> KFRle� quisned signature) Date Time Received y(signal u Date Timis <br /> Relinquished by(signature) Date Time Received by js+gnalure) Date rl-t, <br /> Relinquished by(signature) Gate Time Received by(s)gnature) Date � Time <br /> Relinquished by (signature) Date Time Received by(signature) Dare Tirne <br />' Site Time r0rwing Time <br /> Star! Finish Total Flours Finish Tota! Hours <br /> Mileage Approved By . <br /> GWOO G-PhK$-(2"527 5657 <br />
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