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ARCHIVED REPORTS XR0003483
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 XR0003483
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Entry Properties
Last modified
6/21/2019 10:05:54 PM
Creation date
6/21/2019 3:40:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003483
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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SJGOV\wng
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EHD - Public
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2795 Second Street,Sude 300 SciencCal e nVlronmenta <br /> Davis,CA 95616 7440 Lincoln Way <br /> Lab 530 297.4800 Garden Grove, CA 92841 <br /> ANALYTICAL ccc Fax 530 297 48D1 714-895-5494 Lab No foto Page —I- of J— <br /> Project Contact(Hardcopy or PDF to) Geotracker COELT EDD REPORT? Chain-of-Custody Record Analysis Request <br /> Joel <br /> _X_YES NO <br /> i i <br /> Company/Address " <br /> Kiff Analytical, LLC Sampling Company Log Code CETS Analysis Request <br /> Phone No FAX No Global ID l� T0607700697 <br /> Project Number P 0 No EDF Deliverable to Email Address) <br /> 247-0783-003 43795 1 inbox kiffanal tcal com N r` 0 0 <br /> Protect Name E-mail address: 1 a Cd o N a► <br /> 2575 Country Club Boulevard, Stockton inbox klffanal lcal comc w N ¢ N a <br /> Protect Address Sampling Container [ Preservative Matrix ¢ W <br /> a fel g LL <br /> 0 <br /> Sample a d3 w z iy w Ca o M <br /> Designation nate Time a s z i a z ( ¢ a O 5 <br /> EFF 5116105 11 10 31312 1q 4 1 X 31 X X X X X X <br /> If <br /> 1[ I <br /> 1[ <br /> 1[ <br /> 11 <br /> 11 � <br /> 1[ <br /> [Relinqo6hed <br /> eh uish Date Time Received by Remarks This is a Shell Project Specified methods <br /> )Si hc� a5l4a5 t40� MUST be used, girth no substitutions <br /> by Date Time Received by I� "Metals include Total Cr, Cd, Cu, Pb, Ni,Zn <br /> Relinquished by Date I "rime Rete_ ]ved ay Labluatory- Bill to cQ <br /> v <br />
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