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ARCHIVED REPORTS XR0007051
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 XR0007051
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Entry Properties
Last modified
7/10/2019 1:30:42 PM
Creation date
7/10/2019 10:15:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007051
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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EQUOIA ANALYTICAL e680 Chesapewrive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 36 13 - <br /> ❑ 819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> Wo CHAIN OF CUSTODY ❑ 404 N Wiget Lane •Walnut Creek, CA 94598* (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name ATCASG,,p,le nC. Project Name �S�r� �� �,��,�j < ��1 � 0 <br /> 00/ <br /> Mailing Address /117 6 rye P1.t-+ �v ���$,� ` Billing Address (if different) <br /> City FO-643A) State [a v, Zip Code 95-35 <br /> Telephone2pq_ '5577_ ZZ-Z FAX # �. 579. �Vs- PO # <br /> rReport �CA ti1+\B,.To t t`o%kw S C. p 14U�.Sampler �"X /p re 5, OC Data eLl D (Standard) Level C ❑ Level B ❑ Level A v <br /> Turnaround &T0-Working Days © Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested <br /> IL <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> D 5 Working Days ❑24 Hours <br /> Client Date/Time Matrix # of Cont Sequoia's f�W Comments <br /> Sample I D Sampled Desc Cont Type Sample # �p <br /> q!a r31sr VA !v l✓ ✓ ✓ m <br /> 2 M 1N' 13tS ✓ ,/ <br /> 3 � - 3 1335 ✓ ✓ ✓ o <br /> 5 MW- Jr'' � #1� ✓ <br /> 7 <br /> 0 <br /> 3 <br /> 8 Cr <br /> 4} <br /> 9 <br /> L <br /> 10 <br /> Relinquished By 7— .✓ Date r,3o5-gq Time NZ(v Received By r(� �' �.� Date Time A(2 <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date --tTime Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes 0 No Samples on Ice? 1�f Yes 0 No Method of Shipment2C&l&ic-4__ Page ' of t <br />
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