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ARCHIVED REPORTS_XR0005507
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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14800
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3500 - Local Oversight Program
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PR0545626
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ARCHIVED REPORTS_XR0005507
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Entry Properties
Last modified
11/19/2024 1:50:28 PM
Creation date
4/29/2020 1:40:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005507
RECORD_ID
PR0545626
PE
3528
FACILITY_ID
FA0000957
FACILITY_NAME
LATHROP GAS & FOOD MART*
STREET_NUMBER
14800
Direction
S
STREET_NAME
STATE ROUTE 99
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
19702004
CURRENT_STATUS
02
SITE_LOCATION
14800 S HWY 99 RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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L'&sServkeS-- <br /> O CHAIN a.SOSTODYILABORATORY ANALYSIS REQU, FORM <br /> Ar#tkol f <br /> DATE 1 t► ` PAGE_ OF �— <br /> 1921 Ringwood Ave. • San Jose,CA 05131 • 400 437.2400, FAX 1406)437-9356 <br /> PROTECT NAME l t tlX-7LT-/lYl, iCtiQ f_ �sI �� ` ft1V • V1, <br /> ANALYSIS REQUESTED <br /> PROJECT MNGR. <br /> COMPANYIADDRESS I=)')" � z <br /> 4 <br /> �� � g3*1 <br /> �r,E c,9 !� _ PH01+1 d �- <br /> SAMPLERS SIGNATURE b � -"�00 p REMARKS <br /> SAMPLE LAS SAMPLE <br /> L0. DATE TIME l.R. MATRIK <br /> u-el <br /> �, <br /> REUHQUlS BY: RECEIVED BY: TURNAROUND REQUIREMENTS: REPORT REQUIREMENTS INVOICE INFORMATION_ SAMPLE RECEIPT; <br /> ! �� 24 N _ 48 h — 5 day Sf I. RoLsiv Repon P.O.f SNPPno VIA- <br /> r�, uni st ippkv T <br /> 1 � gardW(-%tS wo&Ndm) — IL R.pon{nudes DURMS. BA lo- <br /> PrntdNone Piin�ad Name 11So.'air nqured,maybe Cordtion- <br /> c wd Na ProviN vedw Prefinkuty anis d►arped v aamplal <br /> F Firm Rovid•FAX ProWnaryR•w!s — M aKkd@s AfUw eppoonrt <br /> 3 y_ (ncleatAUAarDual <br /> - np <br /> rftW w r 01 few IL Dem4ine RequuuudRoWDalir , fV.CLPD$MrabbRepoa lab No. <br /> RELINQUISHER BY: RECEIVED BY: SPECIAL MTRUC710NS=MMENTS: <br /> 4r <br /> mow+ f <br /> Pmbd NAM PMW NM <br /> Dawrn» �� <br /> .agas <br /> DISTRIBUTION; WWE-ermfaolQmr: VE11DW-Yb: PHK•rK&WbrorlblmsK <br />
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