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ARCHIVED REPORTS_XR0006788
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_XR0006788
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Last modified
7/27/2020 3:23:13 PM
Creation date
7/27/2020 2:24:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006788
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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MCCam1cal Analytical Inc. Page -I of I <br /> 110 Second Avenue South,ND IINAIN-OF-CUSTOGYORECORD <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0204185 <br /> I <br /> Client <br /> IT Corporation TEL (925)288-9898 <br /> 4005 Port Chicago Hwy FAX (925)288-2119 <br /> Concord, CA 94553-2233 ProlectNo #781723 630400 <br /> PO 10-Apr-02 <br /> �— Requested Tests <br /> Sample ID Client5amplD Matrix Collection Date Bottle 8021Bl8015 1 4WB2606_�—J- l _ <br /> '0204185-001 MW-2 Water 418102 12 15 00 PM A I B <br /> 0204185-002 MW-1 Water 418102 12 35 00 PM A B j <br /> 0204185-003 j MW-3 Water m 418/021 10 00 PM A B <br /> 020410004 MW-4 r Water 418102 1 50 00 PM A B <br /> Comments <br /> ---- - — -- - — Date/Time Date/Time <br /> -- I <br /> Relinquished by _—_ _ Received by <br /> Relinquished by Received by <br /> Relinquished by. Received by — <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> I <br />
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