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ARCHIVED REPORTS XR0006663
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 XR0006663
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Entry Properties
Last modified
6/21/2019 6:18:36 PM
Creation date
6/21/2019 9:19:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006663
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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_-San Francisco <br /> Conoc 'fillips Chain Of Custody Record770rul <br /> ocoPhillips Site Manager: C°iloeoPhillipswosk o dbr Nu060'r <br /> 1220 Quarry Lane ICE REMITTANCE ADDRESS: CONOCOPHILLIPS �� �' I 'E C '7G 61 <br /> GATE: <br /> Pleasanton,CA 94566 Attn: Dee Hutchinson <br /> 3611 South Harbor,Suite 200 ConocoP. 7tI!) CQ Q. Q41oet <br /> (925)484-1919 (925)484-1096 fax Santa Ana,CA. 92704 <br /> W 100.2390 PAGE: of <br /> SAMPLING COMPANY; Vafid Yalue Ib: CONOCOPHILLIPS SITE NUMBER GLOBAL ID NO.: <br /> S E 't' :r > _ a 11192 70607700329 <br /> ADDRESS* SITE ADDRESS(Street end CIM; CONOCOPHILLIPS SITE MANAGER: <br /> C; ] �. 1403 Country Club Dr.,Stockton,CA Liz Sewell <br /> PROJECT CON C: IHardo ar PDF Reporl ta)� <br /> EDF DELIVERABLE TO(RP ar Designeel: PHONE No.: Ea IL -I�18 t7S H1Y <br /> TELEPHONEc FAX: E-MAIL: <br /> �ilC; �5L!•f-C�IDc <br /> �Il SCct;'. '�:.'r\ C", <br /> SAMPLERNoA6IS)(Printf: CONSULTANT PROJECT NUMBER <br /> REQUESTED ANALYSES <br /> TURNAROUND TIME(CALENDAR DAYS): <br /> ❑ 14 DAYS ❑7 DAYS ❑72 HOURS ❑49 HOURS ❑ 24 HOURS❑ LESS THAN 24 HOURS Q m <br /> a <br /> 03 <br /> m w � w r FIELD NOTES: <br /> SPECIAL INSTRUCTIONS OR NOTES: CHECK BOX IF EDD I5 NEEDED .0 to n m <br /> m m ~ l7 <br /> ContalnerlP reservative, <br /> A l W L O r im <br /> a F or PID Readings <br /> Please send EDF and PDF deliverable to w F_ to E c ° ~ or Laboratory Notes <br /> 13 <br /> Kc�tl ^y <br /> 5r.� C r�i;my fi .>cCa' �o ao m+ rn is <br /> CL �a = w a m x m o F <br /> Field Point name only requid different from Sample ID <br /> E ca <br /> OdR In m m us <br /> " <br /> Sample @n lican r° om TEMPERATURE DN RECEIPT <br /> MATRIX Com° <br /> * CONT_ O N H 9, rV G N CP <br /> Y Name DATE TIME CO m m o to m m <br /> 4 <br /> MW-3 \;, water 3 X <br /> MW-4 13' f Water 3 X <br /> Relin i"tied by:jSW01urck Recei Y:(Sena r) Dale- Time', <br /> Relinquished 6 ignaWre Received b- Date: Time-. <br /> RNlnq Y IS'ign / / ived by: Date: Time: <br /> &19103 Revision <br /> tr <br />
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