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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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EHD - Public
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@4$HRL OIL COMPANY CHAIN OF CUSTODY RECORD DW q-Apr--97 <br /> RETAIL ENVIRONMENTAL. ENGINEERING - WEST Serial No: Page (, of <br /> Silo Address; la oL(kA,wy C1 ub 2)1„d l ST0(-kms Analysis Required LAB: Sea u c i a <br /> 1C ' CHECK ONE{1)BOX ONLY CTJDT TURN AROUND TIMI <br /> 204- 75x9 -o�e� ��, <br /> >� c w uiaalarinp i] asT <br /> Shell Engineer: PhoneNo- U 74 hours ❑ <br /> - <br /> LUX J,( I?�v��Z Fax�5 7616 8 a SN.Inr.dlpalloa 1111 Ll <br /> Consultant Name & Address: P.O. Box 259 SoMMoullylDbparol C1 1117 <br /> J � lLdoyi ®{NormoEl <br /> Enviros Inc. , Sonoma CA 95476 wear ;«, <br /> ---- �i cla,rlfyJOWparos ❑ anar <br /> Consultant Contact: P' a 4ti•'7p7 _ - <br /> ti 4 Ca DAM M R.m or Sys <br /> Joe Neely 9 - 1 � � 1467 <br /> Fax : 9 3 -66 E NOTE NoIRy Lab as <br /> Walar Ram at 5yr loon as Fatima al <br /> Comments: o uss <br /> v -d ao O A M ❑ 21144 his [AT <br /> Z Olhat <br /> Sampled by: J <br /> E� & o UST AGENCY: <br /> Printed Name: u*� lU �-� <br /> Co a o f <br /> "�, �t = o � a a SAMPLE <br /> U -UMATERIAL <br /> No of x ac E 2 a. E CONDITION/ <br /> Sample ID Date Sludge soil Water Ali Canis � 1r m j ,� �j U � U DESCRIPTION COMMENTS <br /> �� 56 53 x -_ <br /> - -J/ <br /> Lit <br /> - <br /> Ra nq y nature): PT n e Na Dala.y(�(�7 Race ad(Qnal e). ps Hied Hame, Rafe, <br /> Rating had sy(d afire): Printed Name: Aate h F, 7 Received(Mg hl e), Primed Nanw: <br /> S, IL-emwDue, <br /> i <br /> Rs!!r►qufsFTed 8nafura): Printed Narrw: Date: Race d(sfpnalure _ Prinl d Na"10.711E LAB Timpare <br /> e: 6n �( TlrrTa:14 <br /> N:.QF-Ct1ST4f�Y_WITIt 1NY410E AN <br /> Mot C/CM b C," <br />
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