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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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• • <br /> 2795 Second Street,Suite 300 Cal Science Environmental <br /> 1(tAA1 <br /> � Davis,CA 95616 7440 Lincoln Way <br /> Lab 530 297 4800 Garden Grove, CA 92841ALYTICAL L L c Fax 530 297 4808 714-895-5494 Lab o � ge 1 of -L <br /> Project Contact(Hardeopy or PDF toy Geotracker COELT EDD REPORT? Chain-of-Custody cord and sis Request— <br /> Joel lgfL— <br /> YES X NO <br /> Company/Address <br /> Kiff Analytical, LLC sampling Company Lop Code Analysis Request a a <br /> Phone No FAX No.. Global ID CL <br /> Q <br /> Protect Number PO No EDF Deliverable to(Email Address) U o <br /> 206-0783-001 40904 0 <br /> Prosect Name E-mail addressco <br /> of m <br /> 2575 Country Club Blvd , Stockton Inbox krffanal ical corn Co z <br /> Project Address Sampling Container Pmaervative Matrix d a W C <br /> LL, <br /> .0 o ti <br /> ±a E <br /> Sample o a J m U 0 z <br /> Designation Date Time 0 X _ 2 z z y Q CL U z <br /> H-1-8 0 1115104 3 00 1 X X X X <br /> H-2-8 0 1115104 3 10 11 X X X X <br /> T-3-10 0 1115104 2.30 1 X X X X X <br /> Relinquished by Date Time Received by Remarks <br /> Relinquished kJ, Date Time Received by- <br /> Relinquished by s <br /> D Received b ry, 18111 to <br />
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