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ARCHIVED REPORTS XR0006112
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 XR0006112
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Entry Properties
Last modified
6/21/2019 1:16:19 PM
Creation date
6/21/2019 10:41:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006112
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 Second Street,Suite 344 al clencB nvironmental <br /> Davis,CA 95616 7440 Lincoln Way <br /> Lab 534 297 4800 Garden Grove, CA 92841 11JJ <br /> ANALYTICAL,ccc Fax 530 297 4808 714-895-5494 Lab No 0 Page —L of <br /> Project contact(Hardcopy or PDF to) Geotracker COELT EDD REPORT? Chain-of-Custody Recor Analysis Request <br /> Joel Kiff _ _YES X NO <br /> Company/Address <br /> Sampling Company Log Code Analysis Request a CI <br /> Klff Analytical, LLC <br /> Phone No FAX No Global ID <br /> v <br /> Project Number PO No EDF Deliverable to(Email Address) OL <br /> o �. <br /> 40016 a <br /> N O <br /> o Ld <br /> Project Name E-mail address U <br /> Sanchez Propertinbox®kiffanal Ical coin rn N <br /> Project Address Sampling Container Preservative Matrix co m o <br /> �- 2 N Q U. <br /> n rt Lo <br /> Sample qoo ° � � a a `� <br /> Designation Date Time 0 a � cn � X z U z z 3 w ¢fd W � � <br /> Sewer Discharge 9/8/041445 1 2 3 X X JXIX I X X X X <br /> I ILL <br /> Relinquished by Data Time Received by Remarks <br /> Rel�nqu�shed bate Time Received by <br /> Relmqu shed by Dae Time Received by Lab D,EI to <br />
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