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ARCHIVED REPORTS XR0006564
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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1403
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2900 - Site Mitigation Program
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PR0505513
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ARCHIVED REPORTS XR0006564
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Entry Properties
Last modified
6/21/2019 9:34:22 AM
Creation date
6/21/2019 8:59:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006564
RECORD_ID
PR0505513
PE
2950
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
02
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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i <br /> B.P. OIL COMPANY N 2 0388 <br /> _a e 16400 Southeenter Parkway, Suite 301, Tukwila, WA 98188 <br /> I H C p A <br /> IHE ASSURANCE <br /> Of QUALITY A A T E C CHAIN OF CUSTODY <br /> Novato, CA, I I Digital Drive, 94949 ❑ Huntington Beach, CA, 5702 Bolsa Avenue, 92649 <br /> Phone: 415 883-6100 Fax: 415 883-2673 Phone: 714 892-2565 Fax: 714 8904032 <br /> Consultant's Name: eQ r Consultant Project #: 0 Q 3 7- a-po a g, Pae of <br /> Address: b OQ t <br /> Project Contact: 11 Q1 Phone#Ps((D �r l(OS0 Fax : -5- —I �l 'o rq r#: ElIq ()3 <br /> Sampled by (print): Sampler's Signature: B.P. Site Location#: <br /> Shipment Metliod: Airbill #: Shipment Date: B.P. Site Location: <br /> TAT: ❑ 24 hr ❑ 48 hr ❑ 72 hr Standard(10 day) 1 ANALYSIS REQUIRED Sample Condition as Received <br /> Temperature° C: <br /> ao Cooler#: <br /> Inbound Seal Yes No <br /> kn <br /> 0 Ln Outbound Seal Yes No <br /> Sample Description Collection Matrix Prsv #of PACE C7 C20A x I. U <br /> Bate/Time Soil/Water Cont Sample# a a tt ; O COMMENTS <br /> E~ W X00 <br /> ACU f.1 15"7 i VOA <br /> 3 54/.9 <br /> Relinquished by/Affiliation Date Time Accepted by/Affiliation Date Time Additional Comments: <br /> s �51z <br /> — � <br /> X- <br /> 4be <br /> Distrihuti�n: While-Original Yellow- D.P. Oil Pint:- I,ab Goldenrod-Consultant Field Staff <br />
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