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ARCHIVED REPORTS_XR0006664 CASE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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YOSEMITE
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2900 - Site Mitigation Program
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PR0500097
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ARCHIVED REPORTS_XR0006664 CASE 1
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Entry Properties
Last modified
7/23/2020 3:29:50 PM
Creation date
7/23/2020 3:23:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006664 CASE 1
RECORD_ID
PR0500097
PE
2950
FACILITY_ID
FA0001329
FACILITY_NAME
PONTES QUICKI KLEEN CAR WASH
STREET_NUMBER
707
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22323013
CURRENT_STATUS
01
SITE_LOCATION
707 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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LSauers
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EHD - Public
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1=AMCHAIN-OF-CUSTODY0ECO�RRD_ <br /> �� DATE z PACE t OF <br /> an <br /> KRAZAN & ASSOCIATES, INC Comments REQUESTED ANALYSES PO Number <br /> 215 WEST DAKOTA AVENUE /4 — 17')�� <br /> _ b 1 Ice Chest No <br /> CLOVIS, CA 93612z0 1 hcyctes ; -T-AA <br /> (208) 348-2200 VOICE <br /> E TA(209) 348.2201 FAX rAme 3 Laboratory <br /> Project Name s V u <br /> Project No L{ 3 ( UL <br /> optional) a o o Lab Quote No <br /> Sampler Name rn Report fly+ " N % CL <br /> ¢ o <br /> (Punted) 1 ' t Attention U? a o d H a Ln m - Method of Shipmen(Melivery <br /> Q1;v Y a Ol p C N N <br /> co <br /> Lab SLn <br /> ample Krazan Dale Time E E E E E „a T a- Q Q q r <br /> ID# Sample No Sampled Sampled Sample Description im $ q N 0 z'ty m X w w Remarks <br /> rvr -� -/�-�� s ~ - I Alf/ 5 P ) X Pk X _ <br /> X X _ <br /> 5 a X X X x _ <br /> f <br /> t <br /> } t - <br /> Sgriature '°'"'�' (�� Panted Name" s Date ,Tame' Company Name <br /> u i <br /> Relinquished b L Ana" Turn Around Time <br /> Received by _ ern q„ (Circle Choice) <br /> Relinquished by am pin �1• 48 Hrs <br /> Received b am PM �J <br /> Relinquished b 1 f 9 em PM 5 Days Days <br /> Receive <br /> -a'-y` pm ZAs Contracted <br /> Mide-Lab Yellow-Project File PA-C 0 C Binder COC4 VSD 6 23 98 <br />
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