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ARCHIVED REPORTS XR0006113
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 XR0006113
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Entry Properties
Last modified
6/21/2019 12:44:54 PM
Creation date
6/21/2019 10:43:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006113
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 300 Cal Clence �nVlrOnmentak <br /> 1F� Davis,CA 95616 7440 Lincoln Way <br /> Lab 530 297 4800 Garden Grove CA 92641 �r a�L <br /> ANALYTICAL 1-cc Fax 530 297 4806 714-895-5494 Lab NoPage 1 of J <br /> Project Contact (Hardcopy or PDF to) Geotracker COELT EDD REPORT? Chain-of-Custody Record and Analysis Request <br /> Company/Address I Kilt —YES X NO <br /> Kiff Analytical, LLCSampling Company Log Code Analysis Request I <br /> Phone No FAX No Global ID i <br /> Protect Number PO No EDF Deliverable to(Email Address) <br /> 38015 `� C <br /> 0 0 <br /> Project Name E-mail address r N W <br /> Sanchez Property Inboxfkiffanaf lcal cam °D .0 <br /> Protect Address a <br /> Sampling_ Container PreservatLve Mat CL <br /> m o <br /> Sample ff = <br /> w y z N J <br /> Designation Date Time c� a � 8 z z (b ¢ <br /> TANK 4/23/041000 1 XIX X <br /> t <br /> ±.-J-L---LLJTF <br /> E <br /> i <br /> i <br /> { <br /> `i <br /> I <br /> I <br /> i <br /> Relinquished by rte,/-r� ate Time Received by Remarks � <br /> oto <br /> Relinquished by Date Time Received by <br /> Rahnq had by a! Time Received by Labo ary � 8d4 to <br />
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