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ARCHIVED REPORTS XR0003489
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 XR0003489
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Entry Properties
Last modified
6/21/2019 9:40:06 PM
Creation date
6/21/2019 3:46:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003489
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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T <br /> O HHEChain Of Custody Record <br /> IOFF ANALYTICAL ' <br /> Shell Projeot Manager to be Invoiced 1 <br /> 2795 Seoand Streak Suite 800 Karen Petryna 9 8 9 9 6 1 8 4 DATE 3 <br /> Davis,CA 96618 ' <br /> 23,? PAGE _1_ of_1, <br /> (590)297.UW (530)297-4808 fax �cra�r �xr <br /> SOMPUNO CO~ 0o wm ADDREW(Svwt sod uty} k <br /> CawMa Wwrimerstsl Tachn&W,Im Ctrs 2575 Country Club Blvd.Stockton CA NIA <br /> TO?.NP--owP"Q rn_ w.. C,�r,wrPRWWTNo <br /> •�.s"orp Rgat NIA IWA IWA 246-0783 <br /> Cyndi4a V..iw arn <br /> "N;OSUMI <br /> TUN4ARa NES8 UAYS) <br /> p io w,rs s onus n HouRs p 46 NMRS 13 24 mwAsp Less THAN 24 HouAs REQUESTED ANALYSIS <br /> 0 LA-RWQM RSR FORMAT I]UST A,CF3'ICY. <br /> WA48 MTGE CONFIRMATION WOHESf HIGHEST W BORING ALLI El q $ � „ � � '; � FIELD NOTES. <br /> SPECIAL INSTRUCTIONS OR MOTES CHECK BCM IF EDD I9 NDT NEEDED4 $ 6 ConLln�rNrYaths <br /> ph has 24hr hdd flora o 1 $ _ : or LabWAVY R tl eadinor s <br /> 96 <br /> p•re9dng ffle"a 10 O y gg tl *a <br /> Plowwoleru <br /> vooo.of w a r O Q x TEMPERATURE CN RECEIPT a <br /> Fleld Sample Identlfloation DATE me °OAR �` w e S w s r a } s <br /> INF AQ x x x VOAswMCI -..p <br /> MID 1 1 LML AQ 5 x x x VOAswMCI -.0 <br /> MID 2 A0 5 x x x VOAs wMCl <br /> w + y+ <br /> EFF AQ 7 x x x X X 1 L Amber wAg2WA <br /> Rrd bx ) R.o.b.d by ) Iva <br /> C <br /> 0 <br /> pd1�Md by Fes• R60w04 ry PFNIU+f � / / � D'r.' � T►,,. <br /> DISlR�Ur10AkYYYYrrliial�M6f�nMi1�YMar�ndPY�ktAC�! 171d00Rwyion <br />
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