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ARCHIVED REPORTS XR0006107
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 XR0006107
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Entry Properties
Last modified
6/21/2019 12:47:41 PM
Creation date
6/21/2019 10:33:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006107
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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2795 2nd Street,Saute 300 <br /> IFF 95616 <br /> LDavis,30 <br /> 297 4800 <br /> ANALYTICAL'UC Fax 580 297 4808 Lab No'3--�q--7 Paee of <br /> Project Contact(Hardtop or PDF To) Califomla EDF Report? W Yes ❑N. <br /> G chain-of-Custody Record and Analysis Request <br /> Company/Md FOwaa.n.,d.d bAWn-Vn*6mYIo2Rmftfte@cOw <br /> Sampling Company Log CodeW-4g Analysis Request <br /> Phaft No FAX No Global ID <br /> Ui <br /> Project Number PO No EDF DeII To(Em Address) <br /> Project N �QC�/•SIL <br /> ,�. a� y� Sampler S>9�at r �_ � _ <br /> � a <br /> Protect Ad Sam in 8 a A N _` a <br /> Pt 9 Container Praservai MaMtt t �, � U- <br /> o m m > m ' N z k6 <br /> U W Y <br /> Q Q Q _ t S v r <br /> O tLU o 1 <br /> Z h <br /> a <br /> 22ination date Time '4 N z x z $ m <br /> Sample DArte- w <br /> sf 3 <br /> y a o <br /> 0 S <br /> a6 � <br /> D <br /> Relfngwshed by _Dela Tune Received by Remarks <br /> Relinquished by Date Time Reoelved by <br /> Relmqurshed by Date Torte Received by Laboratory Bol to <br /> !)fsV&dson MO-Lab,Yapow-FOO Ph-A-Ongrnetor Formalooc 121001 1h9 <br />
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