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SITE HISTORY
Environmental Health - Public
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EHD Program Facility Records by Street Name
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YOSEMITE
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2072
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2900 - Site Mitigation Program
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PR0505553
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SITE HISTORY
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Entry Properties
Last modified
8/13/2020 1:06:30 PM
Creation date
8/13/2020 12:13:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE HISTORY
RECORD_ID
PR0505553
PE
2960
FACILITY_ID
FA0006856
FACILITY_NAME
FRANKS FOOD MART
STREET_NUMBER
2072
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
94336
APN
22202001
CURRENT_STATUS
01
SITE_LOCATION
2072 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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P <br /> CHAIN OF CUSTODY RECORD <br /> r_ 070 Kcal Audit Services , Inc . 9 zo 9 <br /> _-==. EnvimnmenlaPiolesslona/s Date Page _L of <br /> re-r <br /> 1803 West Match lane.Suite A•Stockton.California- 95201-(209)95G-0264 <br /> Clientl/ 1 i Project Manager <br /> Crr.�p ra�1 tcfrj/�g � !✓fes Tests Required <br /> ylp4q <br /> Phone Number j <br /> /GcoAudit(209) 915Grers: (Signature) ice: <br /> Project Name (�- f �cccE• <br /> Client <br /> Sample ( Sample 7 ype <br /> P Location I _ + � • �� i�� a/ / � /�- <br /> lumber Description Date { ime S Vdz(er — —I S( NO 01 / �(j/ '�� / / Notes <br /> t t I Curnp lCtab AI( Cont$. % i /•.: <br /> a; <br /> �r !� �1b �X <br />_ a <br /> I <br /> LL <br /> I <br />(•� ' �'Oq snac :ry: rgoeluro) iriccci�ed b}•: (:,ry--�— na,tuoj .. — _ <br /> T 7` °etel:tme <br /> �.,1�.��cr �� � •� lid•(,.-;,� �������„�„i� l .yam ,� <br /> Anti gmsh ud by. (Sr?g;etuta)/ iRecervad fb�y-. (�Signalute) - --/ � �p <br /> %�i ✓✓t. ��i,K l`V�✓ IL'3` 1,r !7 W 05 OalefTime <br /> H Relinquiil�ed oy: (Stgneluro) Ir[ccoived by Mobile Laboratory for held analysis:(Signature) t <br /> W i OgalTttae <br /> _ I <br /> ' Drspalcheo by: (Signature) 1 Daleflrme 0(cceived (or Laboratory by: t <br /> Oata/ttnta <br /> IT Method of Shipment: -- Loboraloty Nemo <br /> i11 L <br /> Special lnatn�cbona: - <br /> �9Gtit� <br />., I Iroroby 01i2e the paslormonce of the above indicated woth. <br /> ii <br />
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