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ARCHIVED REPORTS_XR0006161
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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1257
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3500 - Local Oversight Program
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PR0545949
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ARCHIVED REPORTS_XR0006161
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Entry Properties
Last modified
9/29/2020 10:14:37 PM
Creation date
8/6/2020 9:45:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006161
RECORD_ID
PR0545949
PE
3528
FACILITY_ID
FA0003707
FACILITY_NAME
AHMEDS SONS INC
STREET_NUMBER
1257
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
20015015
CURRENT_STATUS
02
SITE_LOCATION
1257 W 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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u res <br /> Fox cop*f Lob Report and COC to Chevron Con*: O No Chgl 0 —CUSfo Record <br /> Chevron Foellity Humber 9-1848 Chevron Contact (Name) Brett Hunter <br /> 4583 <br /> Chevron U.S.A. inc. <br /> EaoluEy Addream ' oscwiLc 0CSL, Manteca (Phone) 510 842--8658 <br /> - <br /> P.O <br /> Consultant Project Number. gS'IZ _o1 ` brl Laboratory Name ' T <br /> Son Ramon, CA 94583 <br /> 9x$On, 50Consultant Nome BLAINE TCCii SERVICES, INC. Laboratory Release Number 3� 2 7 9 Q <br /> San <br /> FAX (415)842-9591 Addreer 985 TIM00y Dr. , S.in Jose <br /> Samples Collected by (Name) <br /> Project Contact (Nome) Jim Keller Colle°llon <br /> (408) 995-55�3F5 (408) 293-8775 <br /> {Phone) ax Number) SEgnoture �+ <br /> y� Molyres To Be Porformed <br /> o <br /> O <br /> z <br /> o cR r�i vV� a Fo o�n tiN �0 -b9 ^a ° <br /> tR g z N3 r- F ILvE 20 Co <br /> rO..+ 0.v 4.. <br /> Remarks <br /> e 3 ,� y <br /> C-z o 3 W a'3c <br /> 3 v%l 9 cS <br /> Ly 3 <br /> O <br /> P Rstlnqulshed/By (Signature) Organlzatlon Dale/Tlme (At(, Reaelved By (Slgnolurs) Organlzatlon Data/'nme (AZ 13 Turn Around Ttme (Circle Cholos) <br /> "$TS l.2' q'9r W L641, 67TC— (2.—`�`Cf� OC— 24 Hre <br /> Rsllnpuie By gnature) Or anlzatlon Dolr/71me f 6: Received Dy (Signature) Orgonlzotlon Dale/Time �f iC1�CCP ��8 Hee <br /> e&t Tri /�—�f-43� b Do" <br /> �+ 10 Days <br /> 7f Rsllnqulshed By (Slgnaturs) Organlzatlon Dote/Tkma Realwed or Laboratory Dy (Slgnatu e) nDate/tlme Its Controo ed <br />
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