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ARCHIVED REPORTS_XR0006483
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_XR0006483
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Entry Properties
Last modified
9/29/2020 10:08:34 PM
Creation date
8/6/2020 10:06:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006483
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
Tags
EHD - Public
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{' ,.�},, For Lancaster t,sb rias use only a 333`t <br /> �Lawaster�1&ries �p Acct # � Sample# - SCii# <br /> IA . VVtiere quafity�s a sa�ence �I z z 4�'f <br /> Analyses Requested <br /> SS#9-1848 G-R#386392 Global ID;f10607700493 i�Natrrx <br /> Preservation Codes Preservative Codes <br /> Facility# H=HCI T=Throsulfate <br /> Site Address W YOSEMITE AVENUE, MANTECA, CA a N=HNO3 8=NaOH <br /> SECORRH S=H2SO4 o=other <br /> Chevron PM-RC Lead Consultant p J value reporling needed <br /> G-R` Inc, 6747 Sierra Court, Suite J, Dublin, Ce 94558 w c ❑ ❑Must meet lowest detection limits <br /> Consultant(Offics <br /> D- `" possible for 8260 compounds <br /> Consultant Pr) Mgr Deanna L Harding (deannis <br /> ar�gnnc coin) O <br /> U ❑ 8021 MTBE ConBmtiatron <br /> Consultant Phone#925-551-7555 Fax Jk 925-551-7899CY p Confirm highest hit by 8280 <br /> Sampler A Id's Tz ea ko D o ( m n § ❑ p Confirm all hits by 62f30 <br /> a 2 "' Run oxy s on highest hit <br /> Service Order# []Non SAR y ti D <br /> Date Time T 0 3 O° ❑Run axy s on all hits <br /> Sample Identification Collected Collected <br /> �. A Comments 1 Remarks <br /> 4. 0 <br /> Lv <br /> I <br /> I <br /> Ilnquish ��� Date Time { Thne <br /> d Time Requested[TAT)(please circle) �1 <br /> TD TAT 72 hour 48 hour y to Time Received by Time <br /> 24 hour 4 day 5 days <br /> Relinqulshed by ate Time Received by a Time <br /> Data Package options(please circle if required) 1- w WO <br /> OC Summary Type I—Full Relinquished by Commercial Recery5R0L9::-- j Time i <br /> Type%A(Raw Data) ❑CoeEt Deliverable not needed UPS FedEx 011ier <br /> WIP(RWdC$) Cusindy Is Intact? No <br /> Disk Temperature Upon Recel C° <br /> PA 17605-2425 (717)656-2300 3480 Rev 7!30101 <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P 12425.Lancaster, <br /> CopWw-Yft a andy Miew should a"iPal yasnfrplea to#� borBlGrl9s' 1°tw"tMy str M be retained WW CftEff`" - <br />
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