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ARCHIVED REPORTS XR0007049
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 XR0007049
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Entry Properties
Last modified
7/10/2019 7:28:03 PM
Creation date
7/10/2019 10:15:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007049
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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Tags
EHD - Public
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1o' M07,54j,% %-k%I% E LGL. ■ <br /> FAX <br /> 50) <br /> OQUOIA ANALYTICAL ❑ 889 Striker Aelite 8 RSacrame tedwood roy,CA 9 834 ,, (96 6))921-96000 FAX (966) 926 0� <br /> wo CHAIN OF CUSTODY 11404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> 0 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954• (707) 792-1865 FAX (707) 792-0342 <br /> Company Name A-TG SS ��es � � . Protect Name V14KM -PmY,%?- <br /> Mailing <br /> cIRMailing Address (»`T � �al }�J �, Billing Address (if different) <br /> Citya State Zip Code <br /> Telephone 709-S7j_7,, 1 FAX # Z09-579–ZZ ZS PO # <br /> Report To ea�n8 w�S2 Sampler ���K �0 fed QC Data �evel D (Standard) © Level C Cl Level B ❑ Level A v <br /> Turnaround V0 Working Days D 3 Working Days Q 2-8 Hours ❑ Drinking Water Analyses Req uestedl S <br /> l <br /> Time ❑ 7 Working Days D 2 Working Days ❑Waste Water �Yw <br /> D 5 Working Days ❑24 Hours Other G W <br /> Client Date/Time Matrix # of Cont Sequoia's ' Q� Comments <br /> Sample I D Sampled Desc Cont Type Sample # ' <br /> %1aVA\ <br /> 1 IJ1vJ� 090298 f3�0 �. 56S <br /> 2 M v�1- 2 1330 ✓ ✓ ✓ �� w,D <br /> �3 MW ' � s' 35b �� Lam' � ._ � a � o <br /> ✓ <br /> z4 M W - R- l 3'� r ✓ �, } <br /> .. <br /> 7 ! <br /> c I <br /> v— f <br /> t " <br /> Cr <br /> 8 <br /> 9 � <br /> 10 <br /> Relinquished By Date 6170397 Time f sv Received By s ,,.,cti7 Date Time /V*%r <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date y Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes 0 No Samples on Ice? es ❑No Method of Shipment C.0 t -f i ex, Page 1-of <br />
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