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ARCHIVED REPORTS_XR0005093
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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MOFFAT
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392
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3500 - Local Oversight Program
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PR0545570
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ARCHIVED REPORTS_XR0005093
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Entry Properties
Last modified
9/16/2020 2:21:32 AM
Creation date
3/18/2020 2:14:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005093
RECORD_ID
PR0545570
PE
3528
FACILITY_ID
FA0009389
FACILITY_NAME
SJC DEPT OF AG - MANTECA
STREET_NUMBER
392
Direction
S
STREET_NAME
MOFFAT
STREET_TYPE
BLVD
City
MANTECA
Zip
95336
APN
221-030-08
CURRENT_STATUS
02
SITE_LOCATION
392 S MOFFAT BLVD
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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Awse <br /> ExcelcRosevilfle,CA 95678 N-OF-CUSTODY RECORD AND ANALYSIS REQU <br /> Environmental Labs Ph 916-773-3664 Fx 916-773-4784 <br /> Protect Manager Phone# Electronic Dataables R q st <br /> - � Global I D # r�60 Email Address 1203 <br /> COC # <br /> Company/Address Fax# 1l(r Location I D# <br /> (,(yL rf(t v -3 5'11 "f ANALYSIS REQUEST Pae of—( <br /> Project Number/P O# Protect Name Wetex wn o <br /> -°" a ', <br /> N m Total Due Dat <br /> O Q L r .S'A'N- <br /> Protect Locate Sampler Signature o t- ��}'�� ' <br /> p <br /> d ^T i3 r Vv <br /> o -a � � <br /> a �_ �: <br /> 00 p lfJ iFF 3f�d ii kfi`k <br /> S <br /> r �1 n N <br /> Method <br /> Sampling Container Matrix 5 E ¢ m o U m ¢ <br /> Preserved o 0 o E m o C) co <br /> ° rn r M t'F. <br /> Sample Q N o co m r- N <br /> co N m C'3 N N a% Gil u- G1 N 4 <br /> Date Time w a 25 m b o a �, <br /> > J �" M w uJ w N M 0 U y w �� ca J r Oil <br /> a w c7 `'� o w z ¢ ¢ w z = v 0 v a , LAB U5� <br /> >O U) � X_ = 0 zz a �mr F� H a a- un g °i uai' v U si ONLY <br /> ;� ®,Y9 <br /> C� /SI 70 -r <br /> f , <br /> Rete uished by Date Time Received by Remarks/Condition of Sample <br /> Iinquished by Date Time Received by <br /> Relinquished by Date Time Received by Laboratory Bill To <br /> � <br /> L 23 /p z c J V Hl GC_ <br />
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