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ARCHIVED REPORTS_XR0006763
Environmental Health - Public
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EHD Program Facility Records by Street Name
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Y
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YOSEMITE
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853
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2900 - Site Mitigation Program
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PR0508124
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ARCHIVED REPORTS_XR0006763
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Entry Properties
Last modified
7/27/2020 3:07:21 PM
Creation date
7/27/2020 2:19:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006763
RECORD_ID
PR0508124
PE
2950
FACILITY_ID
FA0007949
FACILITY_NAME
7 ELEVEN #21756
STREET_NUMBER
853
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22332015
CURRENT_STATUS
01
SITE_LOCATION
853 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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CORE LABORATORIES <br /> IscklV2 <br /> 06/22/1999 <br /> Job Number 991123 Location 57218 Customer Job ID Job Check List Date 06/22/1999 <br /> Project Number 97000260 Project Description Southland - Martinez Project Manager tas <br /> 1 Customer IT Group Contact Shelby Lathrop <br /> Questions ? (YIN) Comments <br /> Chain-of-Custody Present' Y <br /> I <br /> If "yes", completed properly? Y <br /> I <br /> Custody seal on shipping container? N <br /> If (lyes", custody seal intact? N <br /> I <br /> Custody seals on sample containers? N <br /> If "yes", custody seal intact? N <br /> i <br /> I <br /> Samples chilled? Y 2 <br /> i <br /> mperature of cooler acceptable? (4 deg C +/ 2) Y <br /> Temperature measured from temperature blank' N <br /> i <br /> I <br /> Samples received intact (good condition)? Y <br /> Volatile samples acceptable? (no headspace) Y <br /> Correct containers used? Y <br /> Adequate sample volume provided? Y <br /> Samples preserved correctly, Y <br /> Samples received within holding-time? Y <br /> Agreement between COC and sample labels? Y <br /> open cooler radioactive screen at or below bkgrd? <br /> Additional <br /> Comments <br /> I <br /> ple Custodian Signature/Date Y <br />[1 <br /> Page 1 <br /> TPe ults op Ona o i0{erpralal M n cor�santa n co nl ec[wn I are Onsed—h", <br /> PPn]—t <br /> E <br /> alsuPP[entaon to�xlg9'T <br /> co 11-1 al use Ina 1P 1 Iran been made 11,anahnGat e1111 ap..o�s or inl.....atuns <br /> r 0--0 Cae Lelptal -S Cora 0".t.—epwb eaneswa ranly p rap asn to n e Press p m WY of any type eM erpreaety d ada ma same as Ip lee(r Ptluclmly pops o 1 pn5 o pml1,NWesa OI <br /> ny 4�gas-,—I M o t'xr mrrer al pperty we w+lp wird hris o e�etl upon iW any a wMtsneeer TNS rap Ort Small npS 09 reproduced I wrwlo or m earl w ir101 t 1Pa wr 11 approta of CO a LabO al0 eS <br />
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