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ARCHIVED REPORTS XR0007048
Environmental Health - Public
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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 XR0007048
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Entry Properties
Last modified
7/10/2019 11:54:05 AM
Creation date
7/10/2019 10:14:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007048
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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EHD - Public
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4 - <br /> j X885 Jarvie • Morgan Hili, CA 95037 • (408) 776-9600 • FAX (408) 782-630 <br /> SEQUOIA ANALYTICAL U 819 Striker e , Suite 8 • Sacramento, CA 95834 • (916) 921 9600 FAX (916) 921-0100 <br /> t- U 404 N Wiget Lane • Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> wo CHAIN OF CUSTODY U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> U 1551 Industrial Road • San Carlos, CA 94070 • (650) 232 9600 FAX (650) 232-9612 <br /> Company Name AT/-- c2c s 4 <br /> j �s so .�. �s 1, �,",.�_ Protect Narne � 15/ <br /> Mailing Address - - — -— - - <br /> 11,1r�c.l.,. Billing Address (if different) <br /> � Cit -- --�—__ --- - — — — <br /> y M��t"•s State Zig} Code c�S S 1 <� r _; y <br /> Telephone Zc� S? ZZZ I FAX # 5 7 r! Z 2 S PO flS`{ C3z S t CSC, - - - - ------ c <br /> Re ort To l �� -- L. I ��,., — <br /> p Je4.-,... �+s y Sampler `7 OC Data I-XLevel D (Slandard) U Level C U Level B U Level A v <br /> Turnaround X10 Working Days U 3 Working Days U 2 -8 Flours U Drinking Water Analyses Requested � <br /> 1 <br /> Time ❑ 7 Working Days U 2 Working bays U Wasle Water <br /> ❑ 5 Working Days ❑ 24 Hours AOther <br /> j Client Date/Time Matrix # of Cont Sequoia's �b �r5}L6 <br /> Sample I D Sampled Desc Cont Type Sample # �- ��� Comments <br /> � 7-7-L.-59�ii2 ip <br /> o <br /> 2 <br /> U) <br /> 3 <br /> o <br /> 4 icirk-S Z-j -iS4 is JZ- <br /> 1L <br /> ZIL M - - -- X <br /> 6 iGir;~5 3p-,Sol - +23Z V� --- � �- -�---- —_- -- -- <br /> 7ylt-5631 -too' <br /> ja <br /> 8 lcf <br /> — - --- ----- ----- ---- - —_ cn <br /> 19 �e - -3zioc�` i5 i� _ �` v] �r X X <br /> I <br /> Relinquished By pate Time 9" 3S Received By bate Time 9�7j5 <br /> I <br /> Relinquished BY Date Time Received B �� 30 <br /> — y 1 _ Date Z 3 Time <br /> F linquished By Dale Ti rie Received Date Time <br /> f <br />
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