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ARCHIVED REPORTS XR0006110
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 XR0006110
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Entry Properties
Last modified
6/21/2019 12:37:27 PM
Creation date
6/21/2019 10:40:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006110
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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In,Strat, Inc <br /> A liquid waste dcspcsal company - CUSTOMER <br /> P O Box 2279 (530) 753-1829 IPO <br /> Davis, CA 95617 <br /> DATE „ <br /> DAY OF <br /> CHARGE WEEK <br /> TO <br /> ADDRESS ORIGIN <br /> DESTINATION r" <br /> DESCRIPTION <br /> T��HRS IKATE CHARGES <br /> Monitoring well dewatering/pump test v <br /> Auger ansate Underground storage tank (UST) - w <br /> Spill/release (not UST related) I Surface Impoundment <br /> Drums Above ground storage tank <br /> Solids <br /> Washout <br /> Color s ' `x�' Sanl-chlor <br /> Odor ,=; Filters <br /> Solids �'� % Powersorb Sheet <br /> Other Powersorb Boom <br /> THIS TOTAL WILL STAND AS CORRECT UNLESS NOTIFIED OF CORRECTION SALES TAX <br /> Transporter WITHIN FIVE DAYS <br /> TERMS NET 30 DAYS THE CUSTOMER AGREES TO PAY A FINANCE CHARGE OF 2% TOTAL. <br /> PER MONTH WHICH IS AN ANNUAL RATE OF 24%ON PAST,DUE ACCOUNTS TO .„` <br /> — -- tl COLLECT �a <br /> SIGNED BY X rr s / - ✓ <br />
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