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ARCHIVED REPORTS_XR0005303
Environmental Health - Public
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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_XR0005303
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Entry Properties
Last modified
3/11/2020 6:31:17 PM
Creation date
3/11/2020 3:09:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005303
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
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EHD - Public
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Y • � • r <br /> ATC ASSOCIATES, INC r <br /> CHAIN OF CUSTODY <br /> Project Information Report To Sam les Submrtted To <br /> Project No 54 25912 00023 Consultant ATC Associates Inc Laboratory Argon Labs <br /> Project Title USA Gas#110 Address 1117 Lone Palm Avenue Suite B Address 3037 5th Street <br /> Location 2132 E Mariposa Road Stockton CA Modesto Galifornia 95351 Ceres CA 95307 <br /> Contact Jeanne Homsey Contact Hiram C <br /> Sampler's Name Phone (209)579 2221 Phone (209)591 9260 <br /> (pnnt) Fax (209)579 2225 Fax (209)581 9282 <br /> Sampler's Signature Bill To Date Results Required <br /> Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSK 24 Hour 48 Hour Standard Special <br /> (5 Day) (10 Ray) d L <br /> w a N r m O <br /> .Im _y O LL d w w ao <br /> rn ❑ = m fit <br /> CL IL H w w n o a a =Lu COMMENTS <br /> Sample ID Date Timely #Containers Matnx Preservative <br /> MwIl 8/11/2004 4 Water X X HCI,ice <br /> MM 8!1112004 4 Water X X <br /> MW1P 8/11/2004 4 Water X X <br /> MW2P 8/11/2004 4 Water X X <br /> MWSP 8/11/2004 JAJI 4 Water X X <br /> MW4P 8/11/2004 i 4 Water X X <br /> MWBP 8/11/2004 0 4 Water X X <br /> MVV6P 8111/2004 ll 4 Water X X <br /> Trip Blank 8/11/2004 2 QA1QC X X <br /> Relinquished By <br /> Date Received B Time Date <br /> Time / SPECIAL INSTRUCTIONS <br /> f Fuel Oxygenates to include MTBE ETt3E DIPE <br /> Relinquished By Date Time Received By Date Time TAME TBA EDB EDB and 1 2 DCA <br /> Relinquished By Date Time Received By Dale Time Geuiracker Formal ID AT06077DO064 <br />
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