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ARCHIVED REPORTS XR0003493
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 XR0003493
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Entry Properties
Last modified
6/21/2019 9:55:09 PM
Creation date
6/21/2019 3:47:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003493
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 Secasld Street,Suite 360 Ca Science Environment <br /> Davis,CA 95616 7449 Lincoln Way m <br /> Laky 530 297 48017 Garden Grove, CA 92841 <br /> ANALYT/C.4L uc Fax 530 297AB08 714-895-5494 i_ais No Page 1 cf - N <br /> PiDiacl Cor.Sact(VaMcopy or Pr)F to) EDF Report? tYe,s -X—ft Chain-of-Custody Record and Analysis Requesto i KffCDrnparryfAddrass slummesded but trot nuMuWry 104aftm <br /> Klff Analytical, LLC Sarnpun@ Company�ConAnalysis Request °'Phorle No.. FAX No Diobal lbProject Number PO No EDF DaUmwablt}to(Email Ad <br /> 244-0783 30149 o <br /> Pm lect Nerve E-mail address. <br /> 2575 Country Club Btvd Stockton CA inboxiff1kffena1vt I com A <br /> PraJedAdcireser Samplin Cordatrrer Preservative Matdx a <br /> Sample " <br /> � z a <br /> Designation oats Time 1 , � w � x � � z � t�i a <br /> Effluent 7214,12002 930 11 1 1 13 x x X <br /> 13 <br /> r <br /> j—LJ' L I <br /> A <br /> FrgurMIshedbr. erne RecmYe i by Rsmark Incident No 98998184 IMOrLlot, <br /> 114inquishM her Date J Time OM"d � <br /> C <br /> -a lshed by CAP Time Raoshredby Laboratory Bio <br /> m <br />
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