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ARCHIVED REPORTS XR0007050
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 XR0007050
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Entry Properties
Last modified
7/10/2019 1:27:00 PM
Creation date
7/10/2019 10:15:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007050
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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WIW <br /> 0"�h`e'sapea*lvle* <br /> edwood <br /> CA 94063 a <br /> FAX <br /> 50) <br /> Cil)OQUOIA ANALYTICAL p 88g Striker Ave , ste 8 RSacramentloy�CA 5834 • (916) 921-9600FAX (916) 921 0 <br /> CHAIN 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 ATC Assoc N(Ae5 Inc . Project Name54fe'G <br /> Mailing Address L0rv� t Aver i6 Billing Address (if different) <br /> City KState CO.- zip Code X535 <br /> TelephoneFAX # .�'��_7,2Z�j PO # a <br /> Z09-5 -ZZ 2 <br /> Report To-Ac, h� awe 1SamplerA/1_e>C 1 5 OC Data evel D (Standard) ❑ Level C El Level B ❑ Level A v <br /> x <br /> Re <br /> Turnaround 410 Working Days ❑3 Working Days LJ2-8 Hours El Drinking Analyses Requested Snking Water Y q a, <br /> Time 0 7 Working Days ❑2 Working Days ❑UWaste Water a7 <br /> LJ5 Working Days C324 Fours kX ther C. �� a <br /> A* <br /> Client Date/Time Matrix # of Cont Sequoia's mow} Comments <br /> Sample I D Sampled Desc Cont Type Sample # IES <br /> O <br /> 2 co <br /> MW-3 �3 ' �/ -a �/ 0 <br /> 3 0 <br /> 4 Mw-qr, � 1334 - ✓ - <br /> 5 MW"51�- <br /> jy <br /> 6 M440 <br /> 1 w r <br /> -- ` J it i <br /> 7 L 0 <br /> 9 <br /> 10 <br /> Relinquished By Rte, Date�O(o0 Time &15 Received Byj_ 'tom_ ��� , Date v��l Time J C <br /> Relinquished By ,cc �(t,t '.?C3� Date i , I Time �� Received By Date Time <br /> 1 <br /> p Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? #4es ❑ No Method of ShipmentAdur f g6r_ Page of <br /> F <br />
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