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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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420
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2900 - Site Mitigation Program
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PR0537485
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ARCHIVED REPORTS_XR0006944
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Entry Properties
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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CHAIN OF CUSTODRECORD <br /> � Advanced t� <br /> -_= GeoEnvironmental, Inc. Date `D t " Page t of <br /> 837 Shaw Road-Stockton,California-95215 - (209)467-1006- Fax(209)467-1118 1 r _ <br /> Client Project ManaFJ <br /> g i (� <br /> Tests Required <br /> A!4 "A <br /> ewFone Nmbar <br /> LzLCL <br /> 1 <br /> Sam (SI nature) / invoice <br /> Project Name AGE k I A otl'r- 1 <br /> �( Client ❑ <br /> Sample Location Date <br /> Type No s <br /> Number Description Dale Time Water Air Solid cords <br /> Notes <br /> Comp (crab <br /> �.601A <br /> e mqa e ( e z <br /> na re Fe- y ignature 0 e/Time <br /> � I & j <br /> Relmq fshiidby (Signature) Received by (Signature) /Date'rnme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DaterTime <br /> Dispatched by (Signature) DatelTime rca ved for Laboratory by D ta/Tlme <br /> Method of Shipmen Labor Name <br /> i I Lt I t, � - L"I (� <br /> Special Instr tions 49 <br /> a 1 here thoA a the performance of the above Indicated work <br /> if L <br /> a <br />
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