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ARCHIVED REPORTS XR0006116
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 XR0006116
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Entry Properties
Last modified
6/21/2019 1:20:15 PM
Creation date
6/21/2019 10:44:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006116
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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0 0 0 <br /> 2795 2nd Street,Suite 300 <br /> .�� Davis,CA 95616 <br /> A/YALYT/CAL LLC Lab 530 297 4800 �7�7 J <br /> Fax 530 297 4808 Lab No 7 J Page ?,Of <br /> Project Contact(Hardoapy or PDF To) California EDF Report?�Yes ID No <br /> d— ll <br /> oh--e<r..P_ Chain-of-Custody Record and Analysis Request <br /> CompanylA dressw5t: riatmantWxytD, ii:swnd&9ec&wL <br /> 13f 6 / Sampling Company Log Cod Q <br /> 1b' Analysis Request r <br /> Phone No FAX Na Global ID <br /> m X <br /> ui m m Nw <br /> Project Number P O No OF Delhrerable To(Email Address) I m � <br /> m T <br /> PC3 IN <br /> X <br /> Project Name Sampler signature m a B <br /> f C`i?Z �t9 e'--I� ut ui c w m °d w r <br /> m = C3 t15 Q H p <br /> CO <br /> P ject Address _ h 0 <br /> Sampling Container Preservative Matrix _ o , N t <br /> � W N x m O m m W ] O <br /> C7 ea 8 a = a X LL <br /> p w z W 1 R c� ; m CO j N <br /> Sample Designation o _ x x Q <br /> Date Time a ai = z z 3 cn m m F a 0 0 o J W a m t <br /> 1;12 <br /> "1,0 "� �3 <br /> µ r1 <br /> Rehr►quished _ DaleI i+ <br /> Time Received by' Remarks <br /> RelinquishedXby q ale Time Received by <br /> Relinquished by Date Time Received by Laboratory ���� 8dl to <br /> -7i19.5 <br /> Distabutron While-1.0, Pink Ongrnator <br /> ;~ormslaoc 121001 th9 <br />
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