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ARCHIVED REPORTS XR0001745
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 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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� s 5 <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date: 17-Feb-4% <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No: Page oZ of o2 <br /> M Silo Address: <br /> -7 Coon I Club 1� S ck - Analysis Required ��OTDV5 LAB: ; <br /> iCi�a 204- 7J-a`[ ! O�,D 1 CHECK OHF 41)Box ONIV Ci DT TURN AROU D <br /> H 111AE <br /> C(1 ' <br /> Shell Fn lneer: Phone No..: 510 G.W.'Motivating ❑ Net <br /> a- <br /> t 21 hour ❑ <br /> 33;- '`0°l7 iR.rnv.dipdbn 444) <br /> Fax t' a h.W. El <br /> Consultant Name 9r Address: SomClw.11y/Dltpotal ❑ 4442 <br /> -� Cambr-ia;P.-0. X <br /> •=Bo -2 _ : . _ -: _ �rTray{. -- Waist- radar.=�cHarman <br /> 59; �So�zoma-CA-954 5 - ?4 w .r <br /> = Consultant Contact: Ph# 707-935-4854 �� = C Cie"llyiDispoaal Q 413 an.r ❑ <br /> Joe Neely Fax:'- 935-6649 Cair oa/Mk Rom at Sp, 446: <br /> Comments: ` 0 a ti MOTE: Notify lett w <br /> b d w- 00 S o r,Waist Rem.or Sy.. ❑ 1463 boon a.Polak"as <br /> ° ° p 24146 hrs. TAT. <br /> X <br /> Sampled by: �J to an 0 0 .s Olh.e ❑ <br /> o °O �` - ° -, o m UST AGENCY: <br /> Printed Name: .( 10 P-LI � a lh 0 . A o c • o' <br /> T E o 13 ° MATERIAL SAMPLE <br /> Sample ID pal• Sludge . Sou Water Air # No.of <br /> u ris u° u DESCRIPTION - CONDITION/ <br /> COMMENTS <br /> 4- C6b <br /> i <br /> C.PT -a� KNi � <br /> F <br /> 3 <br /> RoUnquiLlhijBy Qna a}: Pr d Nares: Delo: Recalvod pnaluro): Printed Name: Ante: <br /> R 1y(sigohms): Prinled Name: f Date: Recely sl ature): Printed Name: e• <br /> Time: rims: <br /> Ro1ingUWwd ey(61Qnahrre)r Pr1nt Date: Recetvab (y l r ): Printed Name: _ pale: 2- <br /> Rime.. I s 9 <br /> ru{14�` yIMM: r 2 <br /> THE <br /> 1.Cuel <br />
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