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ARCHIVED REPORTS_XR0012730
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_XR0012730
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Entry Properties
Last modified
11/19/2024 1:50:34 PM
Creation date
4/29/2020 2:42:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012730
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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i <br /> OEM ENINNINEWMI;! , <br /> i <br /> Sample,idenficaon/Fte1d Chof Custody Record <br /> DELTA . <br /> - - , <br /> ENVIRONMENTAL CONSULTANTS,INC. <br /> Project: i,�(" W.d. <br /> Shipped by-' n <br /> Shipped to: r Attention or: <br /> Comments;' Hazardous matarials susp:cl d?(yesfnp) <br /> Sampling Sample No.of Analysis <br /> Point 'Location Field ID# Date Type CorrLsirgn Required <br /> jL: ;, i3.'ij�3•''i 7 i # �'r',�,r <br /> ,f <br /> f Sampler(s)(signature) <br /> Field 1D Relinquished by:(signs3ue) Received by:(signahsro) baterTma Comments <br /> t ' <br /> Sealed for shipment by:{signature) Data/Time r Shipment method: <br /> Received for Lab by:(signature) V/ Comments <br /> Receiving Laboratory'Please return original for ?ter signing fcr receipt of samples. <br /> ,,r f• <br /> A <br />
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