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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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SJGOV\wng
Tags
EHD - Public
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✓ Ma�4ri L-4.t► F L.O .. <br /> iz •- ❑ 680 Chesapeake e • Redwood City, CA 94063 . 650) 364-9600 FAX (650) 364-9 <br /> UOf A ANALYTICAL ❑ 819 Striker Ave ,� 8 •Sacramento, CA 95834• (916) 921-9600 FAX (916) 921-01 w <br /> 1W MAIN OF CUSTODY ❑404 N Wiget Lane •Walnut Creek, CA 94598• (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954• (707) 792-1865 FAX (707) 792-0342 <br /> Company Name AIC SS � 4e-S T-r1C . Project Name �� � /Y-%P- <br /> Mailing <br /> CIRMailing Address 4»"7 Lonc v v Billing Address (if different) <br /> Citya State Zip Code 9535 <br /> V1 9 0 V <br /> Telephone ?-N-SZ9-ZZZ 1 FAX # Z09-5-71-7S PC # <br /> Report To h SSampler QC Data Mrfevel D (Standard) ❑ Level C L) Level B LJ Level A U <br /> 34 <br /> owes <br /> Turnaround eo Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested <br /> El.. <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours Other(SitW 3 5 03 <br /> Client Date/Time Matrix # of Cant Sequoias �a Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> �n�� 1 A9o2aa r32� S t414wAy(4s � ✓ <br /> 0 <br /> Cr <br /> z M0- Z 1330 ✓ ✓' �' <br /> j 3 M vJ 3 135 ✓ ✓ o <br /> 4 <br /> 5 MV,-S ,-1355 '� ✓ ✓ <br /> 7 0 <br /> Cr <br /> W <br /> s <br /> 9 <br /> 10 <br /> Relinquished By 4 Date 6q6397 Time lq S() Received By �, Date !?-J-7Time <br /> Relinquished By Date �-;"�q Time /7°a Received By Date Time •129031- <br /> Received <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? es ❑ No Method of Shipment C.0 Uri g.r Page A.of <br />
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