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ARCHIVED REPORTS XR0001755
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 XR0001755
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Entry Properties
Last modified
6/20/2019 2:54:09 PM
Creation date
6/20/2019 2:05:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001755
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
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EHD - Public
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WELLHEAD REPAIR ORDER <br /> l <br /> .lient I !_ _ Site Address CD Kntr el- 16 v S oc l o <br /> r II PROJECT "REPAIR <br /> COORDINATOR TECHNICIAN <br /> i REQUIRES CALL-IN ONLY ONLY <br /> Well Rlm Casing Tab(s) <br /> Sea Condition <br /> Apron Bolt(s) Other Lid cracked/Missing or [ Traf[!q Inspection Deficiency <br /> ro e <br /> Cracked ss (explain [ All Tabs or Bolts Broken Conlrai Scheduled Corrected <br /> peteriDrpled Prevents or Loose or II or loose below) [ [ Raqulred (InitlallDate) (InitlaUOate) <br /> or Missing Cs Seel Stripped WELL NOT SECURE <br /> Well 1D Jab Number p p 9. 1 �► <br /> C-4 o3a oa-sN•, <br /> II _, • <br /> { <br /> :I <br /> • i l� ' <br /> If � II <br /> II _———- El <br /> NOTES: <br /> .I <br /> BLAINE TECH SERVICES,INC. BAN JOSE SACRAMENTO LOB ANGELES SAN DIEGO I www blalnal�rh anm, <br /> s <br /> i <br />
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