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ARCHIVED REPORTS_XR0006926
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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420
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2900 - Site Mitigation Program
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PR0537485
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ARCHIVED REPORTS_XR0006926
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Last modified
7/27/2020 6:14:07 PM
Creation date
7/27/2020 3:51:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006926
RECORD_ID
PR0537485
PE
2957
FACILITY_ID
FA0021568
FACILITY_NAME
FORMER RAINWATER CAR WASH
STREET_NUMBER
420
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
21931206
CURRENT_STATUS
01
SITE_LOCATION
420 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Advancer <br /> CHAIN F fuUSTODY RECO D <br /> GeoEnvironmental, Ince ( i ,, �� �_� Date ' 'aye of <br /> 837 Shaw Road - 5toukton, California- 95215 - (208) 467-1006- Fax (209) 467-1118 <br /> mZ <br /> ClientE k,TI ,E Prfl ect Mit er <br /> -K Tests Required <br /> hone Number <br /> am rs (Signature) Invoice <br /> _--Protect Name <br /> - r� AGE <br /> Aft 'K <br /> Client E] <br /> Sample Location Sample Type <br /> Date Time Water Solid No of r Notes <br /> - Number Description comp Grab Air Conts <br /> 4 A- <br /> r 2 <br /> r2�1h f YS n7 <br /> _ l <br /> is I � at e) ece ve y ignature ❑a!e/rl4)110 - <br /> `'qurshed by (Signature) ` Received by (Slgnalurei u atelTtme <br /> _=-Rehnquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Dsle/Time <br /> Dispatched by (Signature) Ontojinie Roca d for Laboratory byy Date/Time <br /> Method of Shrpment Labor ry am <br /> _ r <br /> pec I Instrypbons f J �, ; I hereby au t r 0 the erforman a of the above indicated work <br />
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