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ARCHIVED REPORTS_XR0005304
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MARIPOSA
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2132
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2900 - Site Mitigation Program
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PR0541650
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ARCHIVED REPORTS_XR0005304
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Entry Properties
Last modified
3/11/2020 6:05:40 PM
Creation date
3/11/2020 3:11:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005304
RECORD_ID
PR0541650
PE
2960
FACILITY_ID
FA0023868
FACILITY_NAME
FORMER USA GASOLINE SERVICE STATION 110
STREET_NUMBER
2132
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
1730635
CURRENT_STATUS
01
SITE_LOCATION
2132 E MARIPOSA RD
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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ATC ASSONPATES, INC <br /> CHAIN OF CUSTODY <br /> Project Information Report To 52mples Submitted To <br /> Project No Z�CQ I ,�jQU 7j Consultant ATC Associates Inc Laboratory Argon Labs <br /> Project Title S41 �4t 11'�� f Address 1117 Lona Palm Avenue Suite 8 Address 3037 5th Street <br /> Location t (� Modesto,California 95351 Ceres CA 95307 <br /> Contactk Contact-91� <br /> Sampler s Name i , Phone 221 Phone (269)581 9280 <br /> (pnnt) A `�- �� �� \��� Fax (209)579 2225 <br /> Fax (269)581 8282 <br /> Sampler's Signature Bili To nate Results Required <br /> Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (5 Day) (70 Day) 412 <br /> 30Q <br /> R N <br /> C [] <br /> UJ <br /> x 7 <br /> M a D G LL m <br /> 1? w 03 J <br /> Y 2 a.. g C3 m <br /> LL a W n r o COMMENTS <br /> Sample Ill Date Time #Containers Matrix Preservative <br /> 45 ✓ ✓ <br /> 1 <br /> M 3 1-• r/ ✓ <br /> Iir,qs Ll ✓,h& �Sp ✓ <br /> H ✓ <br /> Mw (OP 1715 H ✓ ✓ <br /> Relinquished By �_� Date Time Rete ved B Date Time SPECIAL INSTRUCTIONS sL)f j f n; e'— <br /> A 05/ I +n 6c(�r�cp�� � <br /> Relinquished By Date Time Received By Data Time t�n7F� <br /> Relinquished 9y Date Time Received 9y Date Time �1 <br />
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