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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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4kiFF ANALYTICAL <br /> LL Chain 0# Custody Record `7U <br /> Shell Project Manager to be Invoiced: WDAW NW00 Ott 010) <br /> 2795 Sownd Street,SUMO 300 DATE 6 <br /> Davla,CA 95616 T GCStIt Qtt.t. CK'F- �+ <br /> PAGE �_ of <br /> (530)297-4800 (530)29744$fax 110 E13 11 f14 . <br /> lu" <br /> Cambria Environmental Technology,Inc. CETS <br /> go NUVWWA to IMw�rMr parrpagr.+k 7>r0 +X <br /> 270 Perkins Streek Sonoma,CA <br /> r �l <br /> -79UU%1Q% <br /> a�iuK+ut ��S��y <br /> TU (8 YS► <br /> ❑ io OAYS C35 CAPS❑ n HOURS❑ H t(OURS C) 24 WAS❑ LUS DWI 24 KOURS REQUESTED ANALYSIS <br /> ❑ u•XWQ0 REPORT FWf>•tAT ❑ UST A( )0' N or s <br /> (l0W A% CON V"TICN wIGI W HIGHES WBORING ALL i FIELD NOTES' <br /> SPECIAL INSTRUCTIONS Olt NOTES tHECX sox IF EW IS NEEDED U } `" Contsln�rlPns�wElav <br /> or PID Ro&dings <br /> or Laboratory Nous <br /> ide SAM?UNG ka of �p = m TEMPERATURE ON RECEIPT C• <br /> uarf Field Sample idenuflaatlon vATw COWT, 6 <br /> y DATE TIME O W W > > <br /> r r <br /> r, <br /> ' W-1 - 1( whw- X U <br /> Ir � <br /> = I I <br /> _ <br /> III INV <br />� YX(ilOrm4s�l Mewl Y,6(slp,wrnl oalr TMN. A <br /> {s�wr�l rF I D <br /> 2C.-a.0 Zug= �,,,� s�2/ �� <br />
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