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ARCHIVED REPORTS_XR0005280
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MCDONALD
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12988
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3500 - Local Oversight Program
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PR0545540
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ARCHIVED REPORTS_XR0005280
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Entry Properties
Last modified
3/13/2020 12:05:07 PM
Creation date
3/13/2020 11:25:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005280
RECORD_ID
PR0545540
PE
3528
FACILITY_ID
FA0004175
FACILITY_NAME
TIKI LAGUN RESORT & MARINA
STREET_NUMBER
12988
Direction
W
STREET_NAME
MCDONALD
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
13102026
CURRENT_STATUS
02
SITE_LOCATION
12988 W MCDONALD RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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1` I <br /> ' Forensi( nalytical (" <br /> Analytical keport <br /> I' <br /> San Francisco a 3777 Depot Road, Suite 409, Hayward, CA 94545 • Phone 510/887-8828 • Fax 5101887-4218 <br /> Los Angeles• 19443 Laurel Park Road, Suite 101, Rancho Dominguez, CA, 90220 • Phone 3101763-2374 . Fax 310/763.868a <br /> Su1 ]c Material Analysis <br /> Method: 40 CFR 763, Subpart F, Appendix A (AHERA) <br /> E. Client: <br /> Blasland, Bouck, ' & Lee, Inc. Client Number: 2798 <br /> t Report Number: 239946 <br /> 7599 Redwood Blvd. , Suite 209 Date Received: 08/02/95 <br /> +, Novato, CA 94945 <br /> ------------------------------------------------_-- <br /> Lab Number: 19568202 Date Collected 06/16/95 <br /> . Sample Number: House kitchen <br /> P.O. Num: <br /> Job ID: 05845 <br /> Site: Tiki Lagun <br /> L <br /> Locations House kitchen. <br /> Gross Descriptions Tan sheet vinyl and black fibrous backing. <br /> f <br /> Comments: <br /> C Microscopic Description <br /> i <br /> --------------------------------------- <br /> ---------------------------------- <br /> f TOTAL ASBESTOS PRESENT: - <br /> Non Det. % <br /> Chrysotile Non-Det. % <br /> Amosite Non-Det. % <br /> % <br /> % <br /> TOTAL NON-ASBESTOS FIBROUS MATERIAL PRESENT: 50-55 <br /> Cellulose 50-55 % <br /> Fibrous Glass Non-Det. % <br /> "s <br /> k <br /> TOTAL NON-ASBESTOS NONFIBROUS MATERIAL PRESENT: 45-50 <br /> ---------------------------------------------- ------------------------- <br /> i�I l <br /> Analytical results and reports are generated by Forensic analytical at the request of and for the exclusive use of the person or entity(client)named on <br /> such report.Results,reports or copies of same will not be released by Forensic Analytical to any third party without prior written request from ciienL <br /> This report applies only to the sample(s)tested.Supporting laboratory documentation is available upon request This report must not be reproduced <br /> except in full with approval from Forensic Analytical,The client is solely responsible for the use and interpretation of test results and reports requested <br /> from Forensic Analytical.This report must not be used by the client to claim product endorsement by NVLAP or any agency of the U.S.Government. <br /> Forensic Analytical is not able to assess the degree of hazard resulting from materials analyzed.Samples submitted to Forensic Analytical are retained <br /> i for a period of six months and then disposed of according to all state and federal guidelines. <br />
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