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ARCHIVED REPORTS XR0007057
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 XR0007057
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Entry Properties
Last modified
7/10/2019 1:39:10 PM
Creation date
7/10/2019 10:18:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007057
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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ATC ASOCIA ES, INC. <br /> CHAIN OF CUSTODY <br /> Project Information Report To Samples Submitted To <br /> roject No S Y.12$+ 19+ 1 Consultant ATC Assoc !n <br /> iates e Laboratory Argon Lees <br /> roject Title j tZ Address 1117 Lone Palm Avenue Suite 8 Address See 5th Sheet <br /> Cerre <br /> ocatlon Modesto,California 95351 s CA 95397 <br /> �'+IW F IV W-6 'Z-0. 5 l% Rx.3 (. Contact 'ML-U A F-�cy A►5Q-) Contact G�•%>i x � <br /> ampler s Name �sy Phone (209)579-2221 Phone (209)5111 9200 <br /> �� �z4t) Fax (209)579 2225 Fax (209)5111 9202 <br /> (print) <br /> Bill To Date Results Regt,lred <br /> ampler s Signature <br /> 4'/60//ztu //' Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> HUSli 24 Pour 48 Hour Standard Special <br /> (5 day) (10 Day) g <br /> m ej <br /> IL <br /> J <br /> IL o 0 <br /> r N o COMMENTS <br /> le to Dara Tlma SConlelners Matrbr Preservative <br /> UL <br /> D 5L <br /> ' Received B Date Time SPECIAL INSTRUCTIONS S U13A t r <br /> Rallnqulshed BDate ,/Time <br /> / <br /> ' Q" !�•��O r' '� d ( �'�� fn-] bl<a�,L,�C��� �arlr�/rr <br /> ReTihquished y <br /> Date Time Received By Date Time <br /> ReIlnryvisbad oy <br /> Date Time Received By Date Time <br />
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