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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
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SJGOV\wng
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EHD - Public
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2795 Second Street,Suite 300 al Science Environmental <br /> KIFFDavis,CA 95616 7444 Lincoln Way <br /> OLab 530 297 4800 Garden Grove, CA 92841 <br /> Analytical LLC Fax 530 297 4808 714.895-5494 Lab No �© rage _L of 1 <br /> Project Contact(Hardcopy or PDF to) EDF Report? Yes _x<No Chatn-of-Custody Record nafysis Request <br /> Troy Turpen <br /> Company/Address Recommended but not mandatory to complete this section til <br /> Kiff Analytical, LLC Sampling Company Log Cade Analysis Request $ v' <br /> Phone No FAX No Global ID <br /> to <br /> Project Number PO No EDF Deliverable to(Email Address) y. <br /> � c <br /> 47183 `� O <br /> Project Name Email address FA <br /> N <br /> Sanchez Pro a Inboxftifianal Ical Com M ca <br /> � <br /> Project Address sampling Container Preservative Matrix (D o <br /> ago N � <br /> -' co w `r LU v <br /> Sample t- <br /> Designation Data Time iL i = <br /> Baker Tank 12/01/05 14 30 1 2 X 11 21XI I 21XX X X <br /> Relinquished by Date Time Received by Remarks <br /> �— 20*5 17 <br /> Date Time Received by `t] <br /> Relinquish y � <br /> cQ <br /> Relinquished by a e Time Received by o Bili to (D <br /> Z 1 l e Accounts Payable —I <br /> 0 <br /> % o0 <br />
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