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ARCHIVED REPORTS XR0006104
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 XR0006104
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Entry Properties
Last modified
6/21/2019 12:56:14 PM
Creation date
6/21/2019 10:31:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006104
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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SJGOV\wng
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EHD - Public
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I <br /> 0 <br /> 720 Olive Drive.Suite D <br /> /FF Davis.CA 9581 6 <br /> Lab 530 297 4800 <br /> ANALYTICAL ctc Fax 530 297 4803 Lab No �1 S3� Page—Lot <br /> Project Manager Phone No <br /> p 5749 -« Chain-of-Custody Record and Analysls Request <br /> Company/Address FAX Na � <br /> g 4J�fr ,tea o.?� Analysis Request a <br /> Project Number P 0 No Email Address <br /> WPdf ©xis doc ❑other <br /> Project NameSampler Signature _ m <br /> -5A7 A.,,c � _ m a <br /> W o <br /> N <br /> Project Location <br /> Sampling Container Preservative <br /> LL <br /> Sample o z 1 8 N <br /> -e w d' z `�' <br /> Designation Date rime x U ° ° m �, <br /> -03 <br /> M � -mac <br /> f -b 7 <br /> 71 <br /> 3/ 40 <br /> Relinquished by to Time Received by Remarks <br /> �3,ds <br /> i erinquished by nate Tlrm Received by <br /> Rei,nqulshed by bate Time Received by Laboratory Soli to <br /> Alablb an Whlfe-W Yellow-Fila Pink-Odglnafor F=Wooc 062501 fh9 <br />
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