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ARCHIVED REPORTS XR0006118
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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 XR0006118
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Entry Properties
Last modified
6/21/2019 1:33:18 PM
Creation date
6/21/2019 10:46:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006118
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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• i • <br /> 2795 Second Street Suite 300 al Science Environmental <br /> I' <br /> 1aFF0 <br /> Davis,CA 95616 7440 Lincoln Way <br /> Lab 530 297 4800 Garden Grove, CA 92841 <br /> Analytical LLC Fax 530 297 4808 714.896.6494 Lab No =Cuk�l Page —L of 1 <br /> Project Contact(Hardcopy or PDF to) Geotracker COELT EDD REPORT? Cham-of-Custody Recur Analysis Request <br /> Troy Tur en _YES _X_NO <br /> Company/Address <br /> Kiff Analytical, LLC 1 <br /> Sampling Company dog Code Analysis Request 00 <br /> Phone No FAX No Global ID <br /> Protect Number PO No EDF Deliverable to(Email Address) <br /> 46286 Q a, <br /> � o` <br /> Protect Name E-mail address T o <br /> Sanchez PTperty PropertyInbox kiffanai ical com 0 <br /> LO <br /> Project Address < W J <br /> Sampling Container Preservative Matrix EL <br /> Sample N v W p w = o ILL <br /> J <br /> m c E O m z w 0 C Q p 5Y = l]G <br /> Designation Date Time 0 a ¢ 7 x" z 0 z z � ¢ CL I— <br /> Baker Tank 10/3/05111 30 11 2 2 X 1 X I X X X <br /> I <br /> Relinquished by Date Time Received by Remarks *PLEASE CALL PROJECT CONTACT IF SHORT HOLD <br /> Dp3�� / ,� TIME CANNOT BE MET 4 lAovkwll <br /> Relinquished by Date f Time Received by <br /> Q] <br /> C1D <br /> lRelfnqwshed by Date Time Receive by L boratory Bill tO Accounts PayableCD <br /> V <br /> O <br /> IN <br /> 00 <br />
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