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ARCHIVED REPORTS XR0001743
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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1267
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2900 - Site Mitigation Program
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PR0505602
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ARCHIVED REPORTS XR0001743
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Entry Properties
Last modified
6/20/2019 3:24:38 PM
Creation date
6/20/2019 1:56:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001743
RECORD_ID
PR0505602
PE
2950
FACILITY_ID
FA0006891
FACILITY_NAME
BANK OF THE WEST
STREET_NUMBER
1267
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
11304217
CURRENT_STATUS
02
SITE_LOCATION
1267 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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SWELL OIL PRODUCTS COMPANY CHAIN OF CUSTODY RECORD <br /> W!G b�tiFAC1k �TY ID'rf Fesuas to .�, <br /> Date: � ; <br /> Cohsult, page _1 Of. i <br /> ��.. .(-a ^a — �' •��, 1i. ~�•.. "" ;'. �s ._ •..a, . . ! , 1. -� !y '• .p. <br /> CLASS TYPEIDETAIL TYPE:.;G!ect one only <br /> Sitelnvest(4441) 0 WtrRem/Sys <br /> ContltsltlGojitact;t ► � ," 'y .� <br /> 'Add� St, �t{' 4 i r k, ~' Q So(I ClasfDly(4442) Q;G.�141 �ianfto�(r <br /> 'iri 6�+x1 �" Tt1RN-A8QQND TIME,; Select 6he only , <br /> �. tt'Cla MDIs 4 3 ,Other <br /> 4 to e{ 44-) O <br /> 48 h : 5'dayp(Ham?�tl:k24 hrsQ' D aht3,r <br /> - <br /> rtma •,,; Analysis Required sluAt�RQmlSys(4492) <br /> Wi;t oca� s =Sto i <br /> t!�itm (milRsry} rr *�' SAMPLE MATRIX �S�eleict One on! <br /> o WIter Q I�APL ;t� Sludge ( :$ei <br /> Sotl o�Vapbr•: �a.Baorock t,Q <br /> , .. -- Q o LAB USE ONLY'f <br /> UST r d r w a :F <br /> Agency: oo N o 0 o m v w d Lab Tracking No.: <br /> Sample Time N Q m m m � ��[C XX co a ; <br /> 0 N N b d x W X Y W W U v w <br /> Field Sample ID (military) E a <br /> a 0 u) ° 1 O w = z a H U c) ro e <br /> _ a. a. 0° �- n- a. a a m o > w Sample Condition/Comments <br /> o a 0 a r H m �- �- I- 2 > rn 3 H o P „ <br /> �z <br /> t <br /> -- -� ' Cooler Temperature: <br /> 1 ` .' �, Material Description <br /> Relinquished By(signatu Printed Name: Date: • Received By(sigr ): Printed Name: Date: <br /> r'Time:� ��✓ ��G�/ Time: <br /> �y Retinquia nature):; Printed Name: Date: Rbct ved B (signature): Printed Name; Date: <br /> i.' _ y ?- S <br /> T - F- <br /> Time: Time: >- <br /> Relinm,fished By(signature): Printed Name: Date: Received By(signature): Printed rName: Date. ^- <br /> Time: <br /> Tim b u <br /> ? eY1L1TR{N_ THE LABORATORY MUST PROVIDE A COPY OF .HIS CI-FAIN Of C'l_ISTOf�Y WITH INVOICE AND RESULTS __._. <br /> — SHELL CHAIN O C c: �? <br />
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