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ARCHIVED REPORTS XR0001748
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 XR0001748
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Entry Properties
Last modified
6/20/2019 3:08:30 PM
Creation date
6/20/2019 2:00:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001748
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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SJGOV\wng
Tags
EHD - Public
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SMELL OIL COMPANY CHAIN OF CUSTODY RECORD <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST 1 Serlal No. I Page j or b <br /> Slle Address: ra�-7, c OL11kiv CI ub glm a STockt <br /> y � Analysts Required LAD: .Se c i <br /> with 204-- 7R9 -D�o� 011C1;out(1)lax ONLY CUM IURH Asoulin nMt <br /> cra <br /> Shell Engineer: PhNo - U ��, � ^ r aw s(.rs•,�o FJ 44s1 34 <br /> �i � 9D-616$6 �} r + o uNnr•rkpolaM 4441 <br /> � W � <br /> Consullonl Nome& Address: 1afc;a.64/06Po1ar 4443 <br /> P.O. D c <br /> 16 dalt (Na'awn <br /> Env1rOS Inc. , Sonoma CA_954`r6 foo � cla-6.4j0raaa; 4111 <br /> Consullanl Conlact; Ph NQ. 707 ba Q Solna Korn or 1Yl <br /> 7 7-4 S�H R 31 < 'd p- w Ohm ❑ aft <br /> Joe Neely Fax '' q 3 -66J� 0 If ru- NQfii 14911V lob at <br /> COrsliYlfsillS: W '" `n wa;•r on Of SVA •oon a•�orrws•of <br /> Y1 �✓ , .J u s a&a ❑ 440 �1ru�u let <br /> Qj <br /> Sampled by. J w <br /> a a UST AGENCY: <br /> rile o e. a ,a 4, n. MAYERIAL SAMPLE <br /> No of � a♦ 4 E r °' CONDITION/ <br /> Sample ID Dale Sludge sou Wolof Ak � � o a o %J � � u a u° DESCRIPTION COMMENTS <br /> p cants � > r U H <br /> X <br /> r <br /> x x <br /> SR 1 - 3 Hold <br /> - s1� - a- 6 x � A x x x x <br /> 1 • nq a a): h n• anrw. Ditto:4 t7 Roca ad(I anatu 9 ; Pr riled Pamo. <br /> A—"—vjN9d—ly(d h o): hlnled Norm Dale aeelvad(tip Q); FAted Name: Me:___� <br /> Y mo: <br /> Rideal By danortyo). Prinlod Name; Holo. Roca Na (signature). Pdnled Namo bale, <br /> 71"w. liar+; <br /> RY_M11SUROV DE A COPY OEIIlIt.QMt1.4E1ITIReY.yffj tIyQ1Q A 22U <br /> 1 <br />
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