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ARCHIVED REPORTS_XR0006792
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_XR0006792
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Entry Properties
Last modified
7/27/2020 3:02:11 PM
Creation date
7/27/2020 2:26:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006792
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 /> ' Date �� f <br /> PROJECT R16CElPT CHECKLIST <br /> Quantims Lot # _LQuote # <br /> Client Name.�_� .:'�!'i7'1Q �QE� � _ Frolect �/.L .�.� r <br /> ' Received by cC��� Datefrime Received O C) <br /> Delivered by '[]Client <br /> ❑Airborne Ex [][)HL ❑Ultra-Ex Rey B <br /> .❑UPS ❑DES ❑Other <br /> ' ........................................................... ................................. ntia.. Date- <br /> lnit�al / Date <br /> Broken None <br /> Custody Seal Status tact ❑ ❑ - " • . .:' <br /> Custody Seal #(s). o Seal # <br /> Sample Container(s)- ❑STL-LA &lient ❑NIA ... - •• • - • - • •• •• <br /> Temperature(s) ICOOLERIBLANK} in °C. 4i (CORRECTED TEMP) - <br /> Thermometer Used :'f, <br /> (I ❑Dig)tal (Probe) . ..... ..... ... ....... .. ... ..... . <br /> Samples: <br /> tact ❑Broken ❑Other ..... .... ... <br /> Anomalies: <br /> o ❑Yes (See Clouseau) ..... .. ........... ... ... ..... <br /> Labeledby ........................................................... ... ..... ... ...... .... ............ ..... .... . <br /> 1 ...... ..... ..... .. .. .. . ..... .. ... .. ... ..... . .. . ..... . <br /> Labeling checked by .................... .... <br /> Turn Around Time:❑RUSH-24HR ❑RUSH-48HR ❑RUSH-72HR&-ncoRre <br /> OMAL ........ <br /> ' Short-Hold Notification: ❑Ph ❑Wet Chem ❑Metals (FilterlPres) ❑NIA ... <br /> Outside Analysis(es) (Test/Lab/Date Sent Out) <br /> ..................... <br /> ..................... <br /> .................... <br /> .................... <br /> .......... <br /> LEAVE NO BLANK SPACES .us N1A '.'''''''' <br /> PH <br /> Fraction <br /> VOAh 1` .3 <br /> 1 <br /> =04 a m a ROXI L*So" <br /> e:uCi <br /> t'tleleei am!or p,�y,r Aer;AmbwQw o& lxP*ft+ te.mes.�w rvw <br /> CGtG�Gtew lore i1�GtAe� <br /> I-j=* r of YOA's wl Hnd3110ft presaat <br /> a SEWED BY/DATE: ,C,/ x , `'� <br /> LOGGED BY/DATE: 000003 � <br />
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