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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2210
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3500 - Local Oversight Program
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PR0544594
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SITE HISTORY
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Entry Properties
Last modified
6/21/2019 4:14:47 PM
Creation date
6/21/2019 2:49:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0544594
PE
3528
FACILITY_ID
FA0006298
FACILITY_NAME
DANIELS PROPERTIES
STREET_NUMBER
2210
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12330040
CURRENT_STATUS
02
SITE_LOCATION
2210 W COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SEQUOIA ANALYTICAL ° 800 C4*sape&M Ddn• Redwood may.CA 94063-(415)38449600 FAX(415)384-9233 <br /> CHAIN OF CUSTODY O 819 West Striker Ave.•Sacramenlo,CA 95834-(918)921-9600 FAX(916)oel-oloo <br /> O 1900 Bates Ave..Suke Lfv -Concord,CA 94520-(510)686-9600 FAX(510)686-9689 <br /> Nam: Project Name: <br /> Address: 3 � 3 51/. <br /> o <br /> 3�' BBing Address(M different): <br /> N: State: Zip Code: 9S <br /> 6 - ad 5 FAX*: P.O.0: 9 m <br /> U <br /> Report To: J i-n► G QC Data: O Levet A 3wdwo O Level 8 O Level C OCLP <br /> Turnaround Time: 15 Woddng Days 0 3 Wodft Days O 2-8 Hours Requested <br /> O 10 Working Days O 2 Working Days IL <br /> O 5 Working Days O 24 Hours <br /> Client Datelfime Matrix 6 of Cont. Sequoia's 1►' <br /> Sample I.D. Sampled Dow. Cont. Type Sample 0 Comments <br /> 1. -Z <br /> 2. Spm i r X, m <br /> 3. - � s � �}, ,,{ irk` �, . � x <br /> 6. .r s <br /> :>•:: <br /> mak{ q { l 3 a 5} <br /> • d <br /> 10. <br /> Relk iulshed By: Date: me: ReceWed By: Date:1 *7244 Time: yp <br /> Relinquished B • r Date:-7.2f:)- me:f 3o Received By: D e: me: <br /> Relinquished : Date: Tirne: Received IS Lab: - Date: 7 L me: <br /> Were Samples Received in Good Condition?0 Yes 0 No Swnples on Ice? O Yes 0 No ethod of Shipment p 'of_ <br />
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