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ARCHIVED REPORTS XR0012677
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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EIGHT MILE
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11530
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2900 - Site Mitigation Program
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PR0541077
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ARCHIVED REPORTS XR0012677
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Entry Properties
Last modified
7/10/2019 7:46:09 PM
Creation date
7/10/2019 9:54:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012677
RECORD_ID
PR0541077
PE
2960
FACILITY_ID
FA0023517
FACILITY_NAME
PS MARINA 5 / KING ISLAND RESORT
STREET_NUMBER
11530
Direction
W
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
07119006
CURRENT_STATUS
01
SITE_LOCATION
11530 W EIGHT MILE RD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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II <br /> s <br /> CHAIN-OF-CUSTODY i=CJ AND ANALYSIS REQUEST <br /> PROJ,NO. PROJECT NAME ANALYSIS TYPE REQUESTED <br /> �14 <br /> -361 <br /> 61 C) x. <br /> Y <br /> d <br /> � w <br /> 5AlwAPLERs(S due} z <br /> I S -- R � . <br /> am a n_ tr 3: <br /> I.D.NO. DATE TIME M STATION&LOCATION v 2a REMARKS ` <br /> KIA_ Awl <br /> 41t.Al «e jj Mo#✓! lm its L, A <br /> b w k - <br /> Il� 1r1w3 , 1i3� b tiJ x x <br /> 410 <br /> 3 <br /> K!R mw'r yILgt <br /> PLEASE RETURN R E CHESTS <br /> AND E LUE iCETO WATERWORK <br /> LAELPRW.b10LlLQ 4 <br /> Relinquished by: Dara Time Recafved W. <br /> Relinquished by. Date Time Received by: <br /> Relinquished by Date Time R Dived y aqui ed by: Date Time Received by <br /> a <br /> Dale Time R Ived by Lebo Ory Delo Time REMARKS(Shlpping Related): <br /> Relinquished b>r <br /> 1710 MAIN STRUT • BrAI ON.rA 9.r:rn - (gnnt nvn iFm <br /> i <br /> t <br /> .t �•. - 4rc-c„ <br />
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