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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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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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CASTL ANALYTICAL LABORATORY CHAIN OF CUSTOD <br /> Location 2333 Shuttle Drive, Bldg 908/909 Atwater,CA 95309 Certificate No 2480 <br /> Mailing Address 2333 Shuttle Drive,Atwater, CA 95301 PAGE OF <br /> Phone (209)384-2930 - Fax (209)3B4-9507 <br /> Customer L (9AVL2Z ,; REQUESTED ANALYSES Method of Shipment <br /> Address r 7 t �'CC �, C Of <br /> ' `��`t <br /> City/State/ZIP � i. ��6`' N N W a Notes �- <br /> Phone/ FAX { ''�- t �I) Ui -11 ` ° `� Al Z <br /> w ti w ¢ a q <br /> -= Proj#/P 0 # h a w ° o I <br /> IL <br /> CL 0 <br /> Report Attention Of' W „ = a o co <br /> Sampler Signature ° 8 w u � <br /> Printed <br /> w z <br /> ` OBSERVATIONS/REMARKS <br /> lib IIf7 SAMPLE ID DATE TIME DESCRIPTION/LOCATION <br /> E <br /> _ w4 Y M, R n <br /> R riu <br /> ri J mp µlee n I P 5'+” rr `s" t .'�` x RTotal num r o COnta�nets submitted to <br /> I f n r �, ;$ ''"r :J" Y.¢ 4 <br /> t ,a rer Via,,; Ifip e �tTTt �`N m rlN the laboratory <br /> Relinquished b i �;' !? ; ,' �l Note All special requests(eg <br /> Received by Li, <br /> quick turn times)must be cleared <br /> through authorized laboratory <br /> Relinquished by personnel <br /> - Received by fuwal <br /> ria i�� "` r` <br /> Relinquished by C ="��'�' ty"' RESULTS DUE <br /> Received by SPACE L!U VERBAL WRITTEN <br />
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