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ARCHIVED REPORTS XR0006118
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 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
Scanner
SJGOV\wng
Tags
EHD - Public
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i i <br /> 2795 Second Street,Suite 300 <br /> Cal Scle nvlronmental <br /> Davis,CA 95616 7440 Lincoln Way <br /> KIFF <br /> Lab 530 297 4800 Garden Grove, CA 92841 <br /> Analytical LLC 0 Fax 530 297 4808 714-896-6494 Lab No Page _L of 1 <br /> Project Contact(Hardcopy or PDF to) Geotracker COELT EDD REPORT? Chain-of-Custody Record and Analysis Request <br /> Troy Tur en _YES X_NO <br /> Company/Address <br /> Klff Analytical, LLC Sampling Company Lou Code Analysis Request ❑ o <br /> Phone No FAX No Global ID <br /> Project Number PO No EDF Deliverable to(Email Address) o <br /> 46782 00 N o <br /> Project Name E-mail address in <br /> Sanchez Property inbox kiffanal tical com Q <br /> Protect Address Sampling Container Preservative Matrix W 4 o <br /> 2 d L <br /> Sample � T Q o o W Z ° ¢ � Z <br /> Designation Date Time 5 a ¢ o 9 z z 'a c <br /> Baker Tank 1114105 0930 2 2 XI I X I X X <br /> Date Time Received by Remarks <br /> Reim u hed 6z <br /> Relinqug&d by ' Date Time Received by <br /> Relinquished by Date Tim d by Laboratory Hill to (�D <br /> � [ Accounts Payable �, <br />
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