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ARCHIVED REPORTS XR0003494
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 XR0003494
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Entry Properties
Last modified
6/21/2019 8:32:55 PM
Creation date
6/21/2019 3:47:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003494
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,SdIe 304 -Mal Science 5nvironmen a <br /> Davis,CA 95616 7440 Lincoin Way <br /> Lab 5302a7 480c Garden Grove, CA 92841 <br /> ANALY77CAL LLc Fax 530297 4808 714-895-5494 Lab No Page —1—of 1_ <br /> Project cc lHaracopy or PDF m) EDF Report? ^, Yes x No Chain-af-Custody Record and Analysis Request <br /> Joel!Gift <br /> Compmnyfl�e6dress. e.ameaendan eutewcm,ne.tor�rtoaarnp�wi�issauom m <br /> ltiffAnalytic:al, LLC sampft Company top code. Analysis Request a <br /> Phone Mo., FAX No. 61oba1 tt3. <br /> w <br /> m <br /> Project Number: P.O No. EDF Uefterabse to(Emax Addmwa <br /> 244-0783 29606 <br /> Project Name: E-a"address, � < N <br /> 2575 Cour Club Blvd> ftckton. CA ` <br /> Praject,bddross+ LU z 1 <br /> 3aatpiktg Cantalner Prosorvathre 1Mafiriu U z <br /> Sample ° J <br /> Desfgnatlon i zhm a 101 W 9 <br /> EFF 11/7102 940 1 11 1 1 X 11, X I X x X <br /> I <br /> t <br /> � c <br /> time Rsoelvad marks Please return shipped coolers with <br /> . lo. \ae temperature blank. <br /> rOnqWftd <br /> OatsYbne R*Wved by aaidmt# <br /> 9899#3184 r1 <br /> Fes: i lime Ftaastrr ary: am tM <br />
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