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ARCHIVED REPORTS_XR0006791
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_XR0006791
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Entry Properties
Last modified
7/27/2020 2:59:28 PM
Creation date
7/27/2020 2:26:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006791
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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LSauers
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EHD - Public
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STL - LOS ANGELES <br /> PROJECT RECEIPT CHECKLIST Date: G(, --Aa=1; <br /> Quantums Lot #. Y_/�-� D��' f�5 Quote #. <br /> 11Plient Name. 1:7T 6 C1_ Project. (-. --<_ -0, 2 f 14 <br /> Received by: 7) __ Date/Time R cejved C /1,c; _LC, 2_% <br /> Delivered by :[]Client ❑Airborne✓ QFed Ex []DHL ❑Ultra-Ex ❑Rey 8 <br /> ❑UPS ❑DES ❑Other <br /> ' <br /> ............................ <br /> ...........................1....,...,....................e •...................,..........1.......,...... <br /> Initial I Date <br /> 1 Custody Sea] Status ©Intact ❑Broken ❑None .. ... ....... .. . ....... . <br /> Custody Seal #(s)- ❑No Seal # . <br /> Sample Container(s): [JSTL-LA []Client []NIA ....... .. .. .. . <br /> Temperature(s) (COOLEFUSLANK) in OC:. ._ (CaRREVED TEMP} <br /> Thermometer Used : [],OR (Infra-red) ❑Digital (Probe) .......... .. .......... .. <br /> Samples: []Intact ❑Broken ❑Other ... ....- <br /> Anomalies: [� No ❑Yes (See Clouseau) ....... ............. .... ... .. .. <br /> Labeledby ................................... ............................... ...... ... ......... .. ..... . ........ . <br /> ' Labeling checked by ........................... ........ ......... ... ...... ... .. ... .. . <br /> Turn Around Time:❑RUSH-24HR ❑RUSH-48HR ❑RUSH-72HR [3NORMAL ........ <br /> Short-Hold Notification: ❑Ph ❑Wet Chem []Metals (Fflter/Pres) ancore ]NIA ... <br /> Outside Analysis(es) (Test/Lab/Date Sent Out) <br /> .................... <br /> .................... <br /> .................... <br /> 1 .................... <br /> ' •••••••••• LEAVE HO BLANK SPACES: USE NIA •••••••••• <br /> FFraon � <br /> NIA <br /> 1 <br /> IN= <br /> m.s�rcetGw*ws� AGILA�OWN ,��a.sakher ai YOA':w!H Present <br /> =LOGGED BYIDATE: REVIEWED BYIDATE: f2C <br /> 00000 3 <br />
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