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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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• • i <br /> 2795 Second Street, Suite 300 Cal Science Environmental <br /> IFS Davis,CA 95616 7440 Lincoln Way <br /> Lab 530 297 4800 Garden Grove, CA 92849 <br /> ANALYTICAL ccc Fax 530 297 4808 714-895-5494 Lab o D !fie -J- „L <br /> of <br /> project Contact(Hardcopy or PDF to) Geotracker COELT EDD REPORT'S Chain-of-Custody and sis Request <br /> I _YES X NO <br /> Company/Address <br /> Kiff Analytical, LLC sampling Company Lop Code Analysis Request no <br /> Phone No FAX No Global ID Q <br /> Protect Number PO No EDF Deliverable to(Email Address) U <br /> 206-0783-001 40904 <br /> Prolect Name E-mail address m N N - <br /> 2575 Count Club Blvd., Stockton inbox klffanal Ical com CCo z � <br /> project Address Sampling container Preservative Matrix W a M `a <br /> m a N L E Z U. <br /> Sample 9 p ° $ o c Q o w U -� o' <br /> Desi nation Date Time U a N �- 2 r z � rn a a U 1 Z <br /> H-1-8 0 1115104 3 00 1 X I X I X x <br /> H-2-8 0 1115!04 3 10 1 X X x X <br /> T-3-10 0 <br /> 11/5/04230 1 X x <br /> X X X <br /> LL <br /> Relinquished <br /> Date Time Received by Remarks <br /> Relinquished kryf Date Time Received by <br /> i <br /> unqulshed t,y L:021te Ti Received ry _ all,to <br />
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