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ARCHIVED REPORTS XR0006109
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 XR0006109
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Entry Properties
Last modified
6/21/2019 12:55:13 PM
Creation date
6/21/2019 10:35:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006109
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
Tags
EHD - Public
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2795 Second Street, Suite 300 Cal Science Environmental <br /> .�� Davis, CA 95616 7440 Lincoln Way <br /> Lab 530 297 4804 Garden Grove, CA 92841 <br /> ANALYTICAL ccc Fax 530 297 4808 714-895-5494 Lab No no Pa e of <br /> Project Contract(Hardcopy or PDF to} EDF Report? — Yes X No Chain-of-Custody Recor d Analysis Request <br /> Joel Kiff <br /> Company/Address Recommended but not mandatory to complete this section <br /> Kfff Analytical, LLC Sampling Company Log Code Analysis Request <br /> yt � Yo a <br /> Phone No FAX No Global ID <br /> Project Number PO No EDF Deliverable to(Email Address) <br /> 31047 c N o <br /> Protect Name Email address Q C6 0 <br /> SANCHEZ PROPERTY inbox kiffanal tical com _ _ N <br /> W � <br /> Protect Address Sampling Container Preservative Matrix oo o u7 M <br /> r <br /> to to W GV `p <br /> W .p o r F� a. M LL <br /> Sample y o o z N to ¢ ¢ l� a s <br /> in ¢ <br /> Designation Date Time c� d ¢ to r w i z voCL EL l W W JOU ll( <br /> Pre-Dlshcar a 1/22/2003 1215 1 2 2 1 1 X 1 1 ,X ] X X X X X <br /> Relinquished by Date Time Received by Remarks <br /> lRefinquisheo,ty Date Time Received by <br /> Relinquished by Dae Time Received by Laboratory Blll to <br />
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