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ARCHIVED REPORTS XR0003472
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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2575
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2900 - Site Mitigation Program
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PR0541989
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ARCHIVED REPORTS XR0003472
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Entry Properties
Last modified
6/21/2019 9:16:46 PM
Creation date
6/21/2019 3:34:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003472
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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PrNTAL <br /> 3 BILL OF LADING <br /> 3909 Park Road, Suite D <br /> SERVICES Benicia, CA 94510 <br /> ($77) 748-3040 <br /> Western Region <br /> DELIVFRY DATE JOS <br /> ;HIPPER I CUSTOMER POINT OF CONTACT <br /> C' t K "—i - r S <br /> DD i <br /> �+s • rki ~fi + �1 <br /> :ARRI R J TRANSP ER - PHONE# <br /> :ONftH!/FACIUf TY POINT OF O TACT <br /> 1DDRESS PHONE# <br /> ;ITY STATE ZIP <br /> 3 <br /> ,pedal Handling Instruction and Additional Inforination -- <br /> -is '��� - #'4I1`uE5 i'4�1`° S3fz fSC,i;; nr�F } - #2) tti �F AIY_y, VL ►,;�i°�l1tG ;#RTa ?w ?as'.sts <br /> ti <br /> nacards Provided YES NO Emergency Phone#(877) 748-3040 <br /> ;HIPPER S CERTIFICATION i hereby declared that the contents of this consignment are fully and accurately described above by proper shipping name and are cNgmfled padted, <br /> marked,and Labeled and are in all respects in proper oondThon for transport by hKghway,vessel,and rad according to applicable mterriational and national government regulations. <br /> SHIPPE=R)PRINT OR TYPE NAME SIGNATURE y^ _ - DAY YEM <br /> x <br /> FVTRANSPORTER)PRINT OR TYPE NAMIE SIGNATURE MONTH DAY YEAR <br /> x <br /> SIGNEFIFACII_ITY)PRINT OR TYPE NAME SIGNATURE r K40NTH DAY F YEAR <br /> 'SC-201-RV 6104 <br /> SHIPPER �� <br />
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