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ARCHIVED REPORTS XR0006141
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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1856
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3500 - Local Oversight Program
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PR0544589
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ARCHIVED REPORTS XR0006141
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Entry Properties
Last modified
6/21/2019 11:43:53 AM
Creation date
6/21/2019 9:40:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006141
RECORD_ID
PR0544589
PE
3528
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
02
SITE_LOCATION
1856 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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McCamp ell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 44553-5560 <br /> (925)798-1620 WorkOrder 0208188 <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton,CA 95215 ProlectNo Country Club Fo <br /> PO 13-Aug-02 <br /> Requested Tests <br /> Sample ID ClientSamplD Matrix Collection Date Bottle SW601SC 8021BI8015 SW8260B <br /> 0208188-001 MW1108-12-02 Water 8112102 8 02 00 AM -- -- - — B — A C — -- ---- _ — ---j <br /> 0208188-002 MW2108-12_02 w Water 8112102 7 45 00 AM B A C <br /> 0208188-003 MW3/08-12-02 - Water 8112102 8 45 00 AM B A C <br /> 0208188-004 - — MW4/08-12-02 y Water 6112/02 8 24 00 AM B A C — <br /> Comments GI T0607700864 <br /> Date/Time C- - -- - ---- _ - Date/Time -- <br /> Relinquished by _ _ Received by <br /> Relinquished by - - - Received by- <br /> Relinquished <br /> yRelinquitshed by. Received by. <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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