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ARCHIVED REPORTS_XR0006174
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_XR0006174
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Entry Properties
Last modified
9/29/2020 10:15:11 PM
Creation date
8/6/2020 9:47:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006174
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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EHD - Public
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j <br /> ❑ Yes , <br /> Fax copy of Lab Report and COC to Chevron Contact ❑ No 70Chgl —of—Cusfod —Record <br /> Chevron Fealty Number <br /> 9-1648 chevron contact (Nome) Brett Hunter <br /> allIt <br /> Yosemite sect Manteca {Phos.) <br /> 510) 8428658 <br /> Fodlity AddressSUFERIOR <br /> Chevron USA Inc ConouRant Project Number "/Z.2 Laboratory Name <br /> P o BOX 5004 BLAINE TECH SFRVICES INC 6177480 <br /> Conwttant Nams Laboratory Rslwee Number <br /> San Ramon, CA 94583 9$5 Timothy Dr San Jose sample■ Collsctsd by (No e) <br /> FAX (415842-9591 Addro■e <br /> Project Contac! (Name) Jim Keller Colleauon Date <br /> (408) 995-55 (408) 293-8773 Slgnclun <br /> (Phone). srt Number) <br /> Matj■■■To Be Performed /fA f <br /> E Fla <br /> a 2 KfJ VVa 4 ap g O • N i4 j <br /> E P NW* 7 U .4^ A.�. p^ q Y • <br /> st+c�o n +o osr cn Yg $o^ •a <br /> E <br /> r� E t$ � ° E?`" rd.. 4.. �.� �� Remarks <br /> c /Ofo wrl <br /> - <br /> -z Gc? lr <br /> C_ tu1 z� <br /> 2 <br /> ,r,f7Y�1 r <br /> Received SS nature organlzatlon D to me Turn Around Tbne(Chis Chafes) <br /> a ReAnq ed By pn u Q anlxatlon Dote/'Tlme By ( 9 ) <br /> o ."W <br /> Yz 1 RJ 112' 9 1124 tin <br /> 48 ttrs <br /> Rsl�nqufehod ( Q zauan �Date/n • 7(s Rsalvsd By (Signature) organlzaUon D°u/' 5 Days <br /> i3 RelinQulehed By (Slpnalun) Qrganlzatlon Date/nme Rwleved For Laboratory By (Slpnature) pate r Y212-� _ M sd <br /> ,3 ,3 <br />
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