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ARCHIVED REPORTS_XR0006485
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_XR0006485
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Entry Properties
Last modified
9/29/2020 10:15:54 PM
Creation date
8/6/2020 10:09:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006485
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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C.hevron California Region Analysis RequestlChain of Custody <br /> LancesW La u" <br /> �1� a a�c�01"c iOCIQS ��Z Q� AW1 n2 saw t 415'1 a'�� � �� _SCwr <br /> Analyses Requested CTr, ��p�� o <br /> Fatality# SS#9-1848 G443$6392 Global INT0607700493 Matrix reservation Codes = Preservative Codes <br /> H-HCI T-Thiosuliaie <br /> Site Address 1257 W YOSEMITE AVENUE, MANTECA, CA� N=HNO3 B=NaOH <br /> In S=H2SO4 O=Other <br /> Chevron PM RC _ Lead Consultant SEt:ORFtH � a <br /> _ G-R, Inc . 5747 Sierra Court, Suite J. Dublin, Ce 94558 w � ❑J value reporting needed <br /> Consultent/Ol ice ,.��, ._ . o <br /> i a ❑Must meet lowest detection tlRs <br /> m <br /> Consultant Pri Mgr Deanne L Harding (deanna f gdnc com) a z r J possible for 8260 compouhde <br /> ❑❑ c� 0 O 8021 WEE Conflnnation <br /> Consultant Phone#925-551-7555 Fax# 925-551-7.89.9 0 <br /> �j °� ❑Conitnn htshest Mt by aM <br /> Sampler <br /> a E D v1 C3 Confirm ea tilts by ism <br /> Service Order# C7 Non SAR a ❑ z ; <br /> A ❑Run oxy s on highest hit <br /> Date Time 3 t3 $ ❑Run oXy s on all hits <br /> Sample[dent[flcatlon Coll ed Collected <br /> 14 D � Comments I Remarks <br /> P- 160 2.. <br /> C r <br /> dAWL ITOO <br /> ti <br /> x <br /> I <br /> i <br /> TR <br /> eflnqu r- Date Time Received by tate Time� <br /> Tu a d Time Requested(TAT)(please circle) <br /> TAT 72 hour 48 tour Time Rowtv:ed by- dot Time t <br /> 2 4 day 5 day <br /> Relinquishedby Time R hued lime <br /> Data Package Options(please dale If required) /x Jed ���� A <br /> 0C Summary Type!—Full Relinquished by Comrtrerdal R Time t <br /> Type VI(Raw Data) [3 Coen Deliverable not neededUPS FedExf <br /> WIP(RWOCS) <br /> Disk Temperature Upon Renelpt C. C Seek Intact? Yes No 4 <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P 12425,Lancaster,PA 178054425 (717)eW2300 Rev 71=1 }d]� <br /> Copies White and yellow should scoomparry samples to Lanc aWratorles The pink copy*mW be retained by the client If vi3rl <br />
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