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ARCHIVED REPORTS XR0003487
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 XR0003487
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Entry Properties
Last modified
6/21/2019 9:52:40 PM
Creation date
6/21/2019 3:44:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003487
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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0 SHEPChain Of CustodyRecord - <br /> K ANALYTICAL � <br /> Shell project Manager to be invoiced INCIDENT NUMBER(S&E ONLY) <br /> 2795 Second Street Suite 300 ❑' SC]ENCE fi EiYGINEE Karen Petryna 9 8 9 9 S 1 8 4 DATE _ <br /> yli6/o� <br /> Davis,CA 95615 ❑TECHtaCAL$E;MMS SAP or CRMT NUMBER(TSICRMT) <br /> PAGE _I— of —1_ <br /> (530)297-4800 (530)297-4808 fax ❑G9rrrHvustw 3 b <br /> GppF SITE ADDRESS ISIPM and IA GLOW V NO <br /> Cambria Environmental Technology,Inc LETS 2575 Country Club Blvd Stockton CA N/A <br /> AoaRE6a E NT1,4 O(R-P wbw Pw,yx Wrr�•k PYpWr No E MAIL [bNSULTANT PROJECT NO <br /> 5900 Hollis Street,Suite A,Emeryville,CA 94608 <br /> pOWACT(N.�vr.POF�`s N/A WA WA z45-0763 <br /> 6MFLER3 NAME L B use ONL Y <br /> Cynthia Vasko <br /> TEL&HPIO L FAX #AWL ]� <br /> 310.420.3344 510-4204394 araekoacambrra,m cam 0A17'0A,) (Jl C r7 <br /> r RNARouNOTIMi=( Sl►MDAYS) REQUESTED ANALYSIS <br /> ❑ to DAys 2 s oAYs❑ n HwRs❑ 4B HouPs ❑ 24 H0UR511 LFSS 7w1N 24 Hou RS <br /> ❑ LA RWQCB REPORT FORMAT ❑ UST AGENCY m <br /> GCMS MTBE CONFIRfAAMN HIGHEST HIGHEST per WRING ALL = o b V � z FIELD NATES <br /> SPECIAL INSTRUCTIONS R NOTES K IS w . t d �_ N <br /> o ContalneriPnsorvatJve <br /> E � 0 E m 0 G or Pia Readings <br /> J�6r�u?/T� � (�1t)Ir•!IV IZ �I m1,f! C a Fi m P Se 3� R pI 9 or Laboratory Notes <br /> Q, N 4 <br /> � a <br /> pH reading(Frreld) 4,,r rey,- T. , y m it C U. Q 3 <br /> 0. ED <br /> N 4 W r m <br /> Flowmeter=Dy1/y �Op MI M 1pr�� <br /> x <br /> -a <br /> W e R m�m .9 ■ Z � � ' k TEMPERATURE ON RECEIPT C• <br /> SAMPLING Ho of w o G a O <br /> V Field Sample Identification �TRtlf caHr M n ? > r <br /> DATEnME m a :E W <br /> ' INF 0 AQ s <br /> x x X VOAs wIHCI } <br /> VOAs wlHCI 2. <br /> k MID 1 AQ 5 x x x <br /> 03 <br /> fi -.MID 2 /`� AQ 5 x x x VOAswlHCl <br /> ,4 E fboa Q S x x x <br /> EFF Ax '1 <br /> ry' � <br /> �s <br /> f� <br /> N <br /> >W <br /> Time- r <br /> RelrgWrhad by t D c <br />
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