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ARCHIVED REPORTS XR0005778
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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1876
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2900 - Site Mitigation Program
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PR0542421
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ARCHIVED REPORTS XR0005778
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Entry Properties
Last modified
6/21/2019 2:40:55 PM
Creation date
6/21/2019 10:11:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005778
RECORD_ID
PR0542421
PE
2950
FACILITY_ID
FA0024377
FACILITY_NAME
COUNTRY CLUB BLVD/295950
STREET_NUMBER
1876
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319101
CURRENT_STATUS
01
SITE_LOCATION
1876 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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= 1 M M- M IMMWE IIA" tw()w I&FC(W M ■� <br /> WL-TECH GEOTECHNICAL SUPPORT (PLEA E PRINT) Lab. Analysis by <br /> r� 10624 OLIVE AVE. OAKDALE, CALIFORNIA 95361 LAB INVOICE TO <br /> OFFICE (209) 847-8757 kg_\4 quV <br /> FAX (209) 847-7744RECORD _�OF PH # NIL 7 <br /> CLIENT 1 CONSULTANT: P.O.# INVOICE# <br /> VATS ANALYSIS REQUESTED SITE SAMPLE MAP <br /> L <br /> PROTECT I SITE NAME a" k M�11� l rMEEL (ITEAlITED AND CRE'CAED BELOW) MT N SCAM (NORTH) <br /> STREET �7 Y Dt o�\tib�`� cc Lo a <br /> Lo <br /> 2 <br /> STATE I o a4 5 9 cc <br /> LGN <br /> m c °C LU <br /> w w <br /> y � HIP VIA „ o J z ¢ F/I <br /> SAMPLER ISIGNATUR$) AYBILL# wcua ELU D 00 Ir <br /> o P� wa aNUMB TYPE V, Q � xoDSAMPLE LOCATION DATE TIME ' x x a a o r-(mEhWFICATION) AnNm41T17P 80U8r1FfrN ° (CRAB OR MATRIX d d ac o C%J CnvxruNECOMPOSITE) F— I- F-- m co ao co ti NSTRUCTIONS BELOW <br /> n — <br /> 7-) hr1�0 Z1 <br /> 3,�w <br /> 9) 3 14av <br /> SAMPLE INTEGR[T]!CONDITION A TURNAROUND TIME ss <br /> `��� �J/_'Q�-ems RECEIVED COIR k INTACT ! YES NO <br /> NrKMYarea ■u ATFi!TIME EIVF.D Bl aMWTUQ! ATEI TIME T CUSTODY <br /> US YES NO <br /> CUSTODY SEALS INTACT 1 YES } NO I V <br /> AIR BURBLES IN v OA 19 1 YES N{) ) LINE 1t <br /> UISHED Bl awcw F ATE I TIME EIVED 81 aecMTU[Fe ME <br /> IbNQL <br /> TURN AROUIID T!A!E CHECA ONE <br /> SHPDB wMTIF PATE/TIAIF / �Q ECEA'_ BI LABORATORY <br /> noTcnxMrouennWF AT6/TIME � a FtUlz[t � � 48 FLOUR � � � DAl { � 10 DA1 <br /> t <br /> NOTE LABORATORY SAMPLE ARCHIVING WILL BE 30 DAPS FROM THE DATE SAMPLE WAS COLLECTED,UNLESS OTHER ARRAINGEMENTS ARE\MADE. <br /> PLEASE RETURN DEL-TECH'S ICE CHEST AND BLUE ICE AS SOON AS POSSIBLE THANK YOU DEL-TECH FORM C O C <br /> Pink - Field Copy / White & Yellow - To Laboratory with Samples / Yellow - Return to Client with Results <br /> S <br />
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