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ARCHIVED REPORTS XR0006567
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 XR0006567
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Entry Properties
Last modified
6/21/2019 9:36:01 AM
Creation date
6/21/2019 9:00:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006567
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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SJGOV\wng
Tags
EHD - Public
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%Crprc;n al&Analytical Chemistry , � CHAIN - OF - CUSTODY Rf 9ORD <br /> 1Concourse Drive.Sults E,San Jose.CA 95131,a08)432-8192.Fm((408)432-8198 <br /> PROJECT NUMBER i PROJECT NAME Type of Analysis ' <br /> Se Report Attention of: i Report Du = Verbal Due Humber Type I I I ! ! ! I I Condition <br /> >4 41kI �I ! <br /> r / / 1 / / of of of Initial <br /> Cntnrs Containers I I I I ! I I samples <br /> sample Numbe ; D to ; Time i Comp iMatrixl Station Location <br /> W ! 046 Vol00- <br /> s <br /> V ` <br /> 1330 ! I I ! I I I I I I I I <br /> I I I I I I I I <br /> ( <br /> 1 ! I l l l l l ! <br /> 1 l 1 1 I <br /> I 1 I I I I I I I I ! l I I <br /> I I j j I 1 1 1 1 1 t l 1 1 <br /> I I <br /> Rel is by:(Si ture)! Da a T'me 16— <br /> eived (Snature3 Date/Time Remarks: <br /> ;iished-bV:(Sj0hture)j <br /> ah by:( gnature)! D tT ceN by: (Sir ) D��1 me <br /> /11V 5-9 JCOMPANY: lS �c rhQ,,nnQr l fd {r Q �so� <br /> ReDate/Ti eceived by La Date/Time ADDRESS: loop 11(rr4 rt1or,coil <br /> ! I I PHONE : -^ 4-oo fAx -7 5 [; 0 <br /> A member of Inchcape Environmental,Inc. <br />
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