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ARCHIVED REPORTS_XR0006944
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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2900 - Site Mitigation Program
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PR0537485
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ARCHIVED REPORTS_XR0006944
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Last modified
7/27/2020 7:10:14 PM
Creation date
7/27/2020 3:55:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006944
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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CASTLE ANALYTICAL LABORATORY 02101-// 7 CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive Bldg 9081909, Atwater,CA 95301 Certificate No 2480 <br /> -Mailing Address 2333 Shuttle Drive,Atwater, CA 95301 PAGEOIL_ <br /> Phone (209) 384-2930 - Fax (209)384-1507 <br /> Customer f,o f- REQUESTEQ ANALYSES Method of Shipment <br /> _ Address <br /> City/State/ZIPJ1 dL b2 <br /> m Q Notes <br /> 4. <br /> Phone 1 FAX 4 <br /> Prat#1 P O # (rt? n W T <br /> ti t a _ q o N LL <br /> Report Attention r J E n a co <br /> c <br /> Sampler Signature a g y w <br /> Printed o Z <br /> SAMPLE ID DATE TIME DESCRIPTION/LOCATION "! OBSERVATIONS1REMARKS <br /> 1L x'{T t <br /> v <br /> F:5 W1 VA 1300 <br /> x 1,3hxl',-may �- <br /> y* r4rc f o <br /> APF POP <br /> UAT <br /> Cup AI <br /> qys Da. 41L0 L yAT <br /> s xR <br /> V r= <br /> a a 3 <br /> :� —•_ � � ��:,.:���1 spa, �' ��s� °�ax� i �'<< -� � '�'�-'� , a�;°�`'� ��',r r� � �� �` , <br /> M4� # �1�� d�F �'a� �S'a ��"m{��, 'W-" tt18 I8bOr8tOt)f <br /> Relinquished by 1� 1 ��- )1 Note All special requests(e g <br /> Received by8,30 ry),A%4 quick turn times)must be cleared <br /> through <br /> personnel <br /> authorized laboratory <br /> Reifnquished b <br /> Received b <br /> alin unshed by RESULTS DUE <br /> Received by VERBAL WRITTEN <br />
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