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ARCHIVED REPORTS XR0007055
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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 XR0007055
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Entry Properties
Last modified
7/10/2019 11:55:21 AM
Creation date
7/10/2019 10:17:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007055
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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SQUOIA ANALYTICAL @Z10 Ches*e Drive• Redwood City, CA 94063 • (650) 364-9600 FAX (650)09233 <br /> .�j11819 Striker Ave , Suite 8 • Sacramento, CA 95834• (916) 921-9600 FAX (916) 9 100 <br /> CHAIN OF CUSTODY ❑ 404 N Wiget Lane • Walnut Creels, CA 94598• (510) 988-9600 FAX (510) 988-9673 <br /> Company Name A-Q- N>s.o I A-e-S Project Name ZSk Z ( <br /> Address 12.Go Billing Address (if different) <br /> City to o&C.S-�'Q State C0_ Zip Code 9,5,351 <br /> Telephone 209-574-ZZZI FAX # Wc) -679- ZZZS Po # T <br /> Report To0v„t Samplero res QC Data ZLevel D (Standard) ❑ Level C ❑ Level vel A- --- U <br /> Turnaround /10 Working Days ❑3 Working Days D 2-8 Hours C3 Drinking Water p Analyses Reque ed I 6-7`l+ � <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours ❑Other \ <br /> Client Date/Time Matrix # of Cont Sequoia's �,� <br /> Comments <br /> Sample 1 D Sampled Desc Cant Type Sample # , L <br /> 4a w\ gtcys TBa,M � <br /> DVP , G'TBE <br /> 2 MW - Z `7 ✓ TAME <br /> 3 Mw —3 5 ✓ ✓ �a o <br /> 3-$coviLA -\ <br /> l <br /> f <br /> 5 MVS `s ,/ Wp= ,M�E <br /> 6 Mme_ sago 7 �, ✓ <br /> 7 - r o <br /> u <br /> 8 <br /> w <br /> 9 <br /> 10 <br /> Relinquished By Date , C Time l y/!� Received By Date��,�� Time <br /> Relinquished By Date Time Received By lime <br /> Relinquished By Received By Lab Date ��z� Time <br /> Were Samples Received in Good Condition) ❑Yes 0 No Samples on Ice? Yes ❑ No Method of Shipment IJ(',AA 600 LItr F., Page;of 3 <br />
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