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ARCHIVED REPORTS XR0006603
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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 XR0006603
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Entry Properties
Last modified
6/21/2019 6:32:39 PM
Creation date
6/21/2019 9:08:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006603
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
标签
EHD - Public
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No 00263 :188.5 Jarvis Dnorgan Hill,CA 95037 •(408) 776-9600 * FAX (408)782-6308 <br /> J 819 Striker Ave, uite 8•Sacramento, CA 95834• (916)921-9600 FAX (916)921 019 <br /> V10,4co r-)404 N Wiget Lane•Walnut Creek,CA 94598 •(925) 988-9000 FAX(925) 988-9673 <br /> 1455 McDowell Blvd North,Suite D.Petaluma. CA 94954; (747)792-1865 FAX(701) 792-0342 <br /> U 1651 Fnduslrial Road•Sari Carlos,CA 94070- (650)232-9600 FAX(650) 23.2-0612 <br /> Consultant Company �' ` -� 4_ ✓3rafecl Marne • <br /> Address fjf c ab P- TOSCO Engineer(required) 4'7 Al� <br /> City. fes,, ! State - zip Code ��,- <br /> Telephone, 707 " `"' FAX# $ Silo#, City, State e- m <br /> Report Ta- cd—vq [ Sampler " 1 d �-t QG Data evel 0{Standard} ❑ Level C ❑Level B C1 Level A k <br /> Turnaround 10 Work Days O 5 Work Days 7 3 Work Days U Drinking Water Analysos Roquosiod <br /> Time- J 2 Work Cays ❑ 1Wvrk Day 3 2-8 Hours CL <br /> U Waste Water <br /> CODE, o mi= U 13stoci ❑Eval U Remed U Demol U Closure U Other <br /> Cliont Dato/Time Malrlx got 130111 Sequoia's ` g � a�`,�a�` <br /> Sample I D Sampled Dese Cont Typa Sample Comments <br /> cado - cam t <br /> 4 <br /> 6 CPQ rr - ° <br /> 10 <br /> Relinquished 6y _ Dato.p• T+mo C € ecowed B Date b�Fme &D <br /> Relinquished Date- Tune Reoeived 13/// Dale <br /> Rclinqulsbcd By. Dale Trine Receive y Date. t Time <br /> Were Samples Received in Good Condition? Yes Q No 5arriplvs on Ice9 Yes U No Method of Shipment ^'se-- page L of <br /> To be completed upon receipt of reporl <br /> 1)Wera the analyses requested on the Chain of Custody roportod7 JkY6s Q No It na,what analyses are stili needed"I <br /> 2)Was tho report issued within the requested lurnaround UMO �q,Yes l It no, what was the turnaround time? <br /> Approved by L"u `� +}- signature .` Company OV` <br /> Dale S <br />
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