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ARCHIVED REPORTS_XR0006793
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_XR0006793
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Entry Properties
Last modified
7/27/2020 3:20:58 PM
Creation date
7/27/2020 2:27:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006793
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, <br /> uantims Lot # /�` �� �7 Quote # <br /> ' Client Name <br /> Project. <br /> Received by _�HL� Date/Time Received `` � <br /> Delivered by ❑Client []Airborne OFed Ex []DHL ❑Ultra-Ex ❑Rey B <br /> ❑UPS []DES ❑Other <br /> Initial I Date <br /> ' Custody Seal Status. [Nfntact ❑Broken ❑None - — y <br /> Custody Seal #(s) 7INo Seal # <br /> Sample Container(s) ❑STL-LA Wlient ❑NIA 11 <br /> Temperatures} ICCOLER/BLANK) in °C ICORRECrEC TEMP) <br /> Thermometer Used ' �5R (Infra-red) ❑Digital (Probe) . <br /> ' Samples* [Intact ❑Broken ❑Other <br /> Anomalies ❑No ❑Yes (See Clouseau) - <br /> ' Labeled by ... , . .. .. - .. .. <br /> Labeling checked by ................ <br /> ' Turn Around Time ❑RUSH-24HR ❑RUSH-48HR ❑RUSH-72HR NORMAL . _ <br /> Short-Hold Notification. ❑Ph ❑Wet Chem ❑Metals (FllterlPres) QEncore ❑NIA <br /> Outside Analysis(es) (Test/Lab/Date Sent Out) ; <br /> ' LEAVE NO BLANK SPACES .USE NIA "« '"' <br /> PH <br /> Fraction NIA <br /> ji <br /> VOAh r <br /> 1 _ i <br /> 1 <br /> ' nrrrLMW ri Y�Teaed V91n;ftLAb filtered <br /> h liC1 et5odn>m H7donde �L=AceMW50&=Il7bomw z H2SO4 iLKNO3 <br /> CGI Caw GL=Lv CGB Cera G7sn 8oala AG]Ambo Giau lar AGB Aat6v Gla.s Hark <br /> P8.7oly 8aale E&me Sarnpla V VOA <br /> ' *number of VOA's W/Headspace present <br /> LOGGED BY/DATE' REVIEWED BY/BATE: �Z/tel <br /> ,, 000003 <br />
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