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ARCHIVED REPORTS XR0006101
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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1876
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2900 - Site Mitigation Program
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PR0542421
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ARCHIVED REPORTS XR0006101
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Entry Properties
Last modified
6/21/2019 12:33:50 PM
Creation date
6/21/2019 10:29:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006101
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
Scanner
SJGOV\wng
Tags
EHD - Public
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720 Olive Drive,Suite D <br /> Davis,CA 95616 <br /> IFF Lab 530 297 4800 gab�4 2j 9 8 I Page of <br /> ANALYTICAL UC Fax 530 297 4808 <br /> Probed Con%tact(Hardcopy or POF 70) California EDF Repoli? v C1 Na Chain-of-Custody Record and Analysis Request <br /> G fJ <br /> ConVany/Address AaOVA,,,iep Samong Company Log c ae "� °" a <br /> G A/- Analysis Request �. <br /> Phone No FAX bio ek"I H) 7 QF <br /> w <br /> 3 � <br /> Project Number P O No EDF Deliverable To(Email Address <br /> $ep C � <br /> 5a er S�grtature m ,� w ° <br /> Protea Name � � � � <br /> co <br /> Project Address Sampling Container Preserva <br /> Cod..�► C/dd <br /> �- >/Odm c N <br /> N Z m O c <br /> a x x x <br /> E w a � <br /> Saul Ee Desi nation Date Time v 0 U z 3 u�i m " ^ J w ' <br /> 3 <br /> Rebnquished by I) to Tame Received b Remarks <br /> Relmgkushed by Date Time Received by <br /> Relmguished by- Date Time MLLEi /1 Bill to <br /> Imo. /y r <br /> Foesra�lcoc 121001 M <br /> Dfsh�Wrlton White-!_ab Yertaw-Foe Pink-Ongu�atw <br />
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