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ARCHIVED REPORTS_XR0005305
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_XR0005305
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Entry Properties
Last modified
3/11/2020 6:04:36 PM
Creation date
3/11/2020 3:11:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005305
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
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SJGOV\sballwahn
Tags
EHD - Public
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ATC ASSOCIATES, INC. <br /> CHAIN OF CUSTODY <br /> Project Information Report To Samples Submitted To <br /> Project No US (7-.3 # I f t7 Consultant ATC Associates Inc Laboratory Argon Labs I <br /> Project Title S-J 2'Sy I.1 oao 3 Address 1117 Lono Palm Avenue Suite B Address 3037 5111 Sheet <br /> location 'Xt 3 X E /V,,,,,ft. 9.4 Modesto Calirornla 95351 Ceres CA 95307 <br /> Sf1CA cAV Contact Contact <br /> Samplers Name Phone (209)579-2221 Phone (209)581 9280 <br /> (print) A O KI A N O�I✓p t2GS Fax (los)579 2225 Fax (209)5111 92112 <br /> Sampler's Signature Bill To Date Results Required <br /> ClTent Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RASH 24 Hour 48 Hour Standard Special r <br /> (5 Day) (10 Day) <br /> El F W CID ren <br /> �e <br /> [a Al u <br /> dT In 0 <br /> tL x W N rmv COMMENTS <br /> DO w <br /> Sample ID Date Time #Containers Matrix preservalive <br /> (/yti W <br /> 1510 It 1 l O I <br /> PAW21- 1110 <br /> M W 1 P (I �0 <br /> MW <br /> my <br /> yv,w � X00 <br /> )ry,w5P 1�y0 <br /> Wr w (o 1130 <br /> Relinquished By Data /oTime Received By Date !! Time SPECIAL INSTRUCTIONS <br /> ]"!! ! 0930 2 !rt L1'C'1,7 1:71 <br /> UtPe,Tq,4, <br /> Relinquished By Data Time Received By Data Ttme <br /> Re11nqulghed By Date Time Received By Date Time <br />
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