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ARCHIVED REPORTS XR0006106
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 XR0006106
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Entry Properties
Last modified
6/21/2019 12:30:01 PM
Creation date
6/21/2019 10:33:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006106
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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I <br /> 2795 Second Street,Sude 300 Cal Clence Environmental <br /> Davis,CA 958tti 7440 Lincoln Way <br /> Lab 538 297 O S�2- arden Grove, CA 92841 <br /> F <br /> ANALYTICAL ccc Fax 530 2974 S 714-895-5494 Lab No03-99 -QS�2- Page _J_, of J_ <br /> Project Contact(Hardcopy or PDF to) Geotracker COELT EDD REPORT? Chain-of-Custody Record and Analysis Request <br /> + Joe I YES X NO <br /> Company/Address � � <br /> ' Kiff Analytical, LLC Sampling Company Log Code Analysis Request <br /> Phone No- FAX No Global in <br /> Protect Number PO No EDF Deliverable to(Email Address) 0 <br /> a% <br /> 34399 N o <br /> Project Name E-mail address m <br /> CARBON TANK + box kiffenal Ica/com yr r <br /> # Protect Address Sampling Container Preservative Matrix � r OD N :M: ri <br /> C) <br /> Sample w ¢ r = ¢ �' a <br /> i <br /> Designation nate Time ° a = z 0 3 W CL H W � U <br /> OUT 8/7/2003 1330 2 2 2 2 1 1 2 1 IX X X X X X X X <br /> Relinquished by 7-c DateTime Received by Remaft <br /> o <br /> [Relinquished <br /> elinquished by pate Time Received try <br /> by C Pate Time Receiv story Bill to <br />
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