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ARCHIVED REPORTS XR0006143
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 XR0006143
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Entry Properties
Last modified
6/21/2019 11:41:07 AM
Creation date
6/21/2019 9:40:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006143
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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IVIcCamp ell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 110 Second Avenue South,4D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0207022 <br /> I <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 02-Jul-02 <br /> s- - Requested Tests _ <br /> Sample ID CllentSamplD Matrix Collection Date Bottle SW8015C 80218/8015 SW8260B <br /> 0207022-001 MW11062802 Water 6/2_8102_11 36 00 AM B A �TC I <br /> 0207022-002 MW21062802 Water 1 6128102 11 03 00 AM B A C <br /> 0207022-003 MW31062802 Water 6128102 12 36 00 PM B A _C <br /> 0207022-004 MW4/062802 I Water 6128102 12 10 00 PM B A C v <br /> Comments: <br /> - - - -- Late/Time�- -- --- — Date/Time I - <br /> Relinquished by___ Received by: <br /> Relinquished by _ - Received by: <br /> Relinquished by._ Received by. <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples vAll be returned to client or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Sod Jar O-Orbo T-Tediar B-Brass P-Plastic OT-Other <br />
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