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ARCHIVED REPORTS XR0001745
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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 XR0001745
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Entry Properties
Last modified
6/20/2019 3:02:48 PM
Creation date
6/20/2019 1:58:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001745
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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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale: ,)o -Feb-73 <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serlal No: Page of <br /> SlIa Address: <br /> Analysis Required M LAB: a a►' <br /> 204` -7S,4 L 6-k0 L� CNEG(ONE(11 lox ONLY CT/DT TURN AROUND TIME <br /> tb <br /> Shell Engineer; Phone No.: 510 { G.W. MonMoring []'au 91 hours <br /> fA^Q,Z Fd3XS-5 ,,J1 ❑ <br /> 4/hours El <br /> Name &Address: SaLC{assll/lUlspasa) [� ,,,a <br /> Cambria, P.O.. Box 259, Sonoma CA 95476 00 5A IS days ilNarmaq <br /> Waist Iu/ <br /> Consullanl Conlacl: Class1rv/1116posal p <br /> Pit# 707-935-4854 4 ah.► <br /> d ad O Sall/Air <br /> Rom at/ys. ❑.4412, <br /> Joe Neely Fax: 935-6649 "' � m .as ,� <br /> Canvnenls: 1 aQ. S Wnl.r Rem,or Sys. Hoop a 1auiR�1.arlob s <br /> �^ b O d 00 i O&M ❑ 4163 21/4/his. TAT. <br /> [Nl Cl <br /> Sampled by:JN to - 0 r: d ._ m ' ' olh.r ❑. <br /> m <br /> 90 .. mp' R- ° uy a a <br /> UST AGENCY: <br /> Pr1nIEd Name: 4 •� c <br /> .111 Ix <br /> SAMPLEo <br /> No. � E MATERIAL <br /> a Sludge loll Water Air EONDITIO <br /> N/Sample ID Dal ' ° ° DESCRIPTION coals, j!: -6 U <br /> COMMENTS <br /> n By gna a); • Pr- a Na r, I rt <br /> Prin d Nam <br /> ` l Dalo: - R ad( a lura): �9� 4 Aafa <br /> R rl'y( gnahxe>: Prinlad arrte• Data: ' Racalvad(s nalura)• 1 d <br /> !f i <br /> lff�lAr �av� �z fl � , ,•'� Prinled <br /> t An4ubhod By( gnalure); Nlnlod Name: Daly: RacaNad(/lgna a): PTlnfed Name: <br /> _ Dale. �, $ <br /> - - .. .. ilme: (Ila � � - �� � '� lirtre: it t{p . <br />
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