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ARCHIVED REPORTS XR0003490
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 XR0003490
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Entry Properties
Last modified
6/21/2019 9:14:31 PM
Creation date
6/21/2019 3:46:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003490
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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2785 Second SVeet,Suite 300 Cal Science Environmental <br /> 4 <br /> iA <br /> Davis,CA 95616 7440 Lincoln WayLab5302974800 Garden Grove, CA 92841 <br /> KAWMCAL LLC Fax 530 29 7 4808IVACYT/CAL icc Fax 530 2974808 714-895-5494 Lab No x Page –L of - <br /> ProlactContact(Hardcopy or PDF to) Geotracker COELT EDD REPORT? Chain-of-Custody Rec d Analysis Request <br /> jOeA Kiff YES X NO <br /> I — m <br /> Company/Address <br /> Kfi Analytrall LLC iS=;dIng c�r.aany Loo code Analyses Request $ a <br /> Phone No FAX No Alabai ID <br /> Prood Numb" P O No- EDF DWnrable to(9maiI Addr") O <br /> 245-0783 31703 ,. <br /> a o <br /> P'rrskxl Name E-mail address QD 04 at <br /> 2575 Country Club Blvd Stockton CA mbox tic i a <br /> Project Address: J <br /> Sampling t".ontalnor Prsasrvativa Nahix <br /> "I = j <br /> S, <br /> ID a <br /> `a � w U. <br /> Sample � i � 1 a <br /> C?esignation Dabs Tem$ a N oW °z = y <br /> EFF 2125/2903 1730 1 X i X I I X X <br /> r <br /> s� Time Received ty marks Incidents 98956184 <br /> V h wX0 (3r4CNP,•P.�ff 6� <br /> rgdsW by DoW Time ReoWea by <br /> Ahed by Date Tune Eiq 10 <br /> m <br /> MMap o, <br />
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