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ARCHIVED REPORTS XR0003520
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 XR0003520
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Last modified
6/21/2019 10:09:10 PM
Creation date
6/21/2019 3:50:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003520
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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Date Shipped 7/2212004 <br /> STL <br /> Chain of Custody 2004-07-0664- 1 <br /> From To <br /> STL San Francisco (CL) STL Seattle <br /> 1220 Quarry Lane 5755 8th Street East <br /> Pleasanton, CA 94566-4756 Tacoma, WA 96424 <br /> Project Manager Melissa Brewer Phone (Z53)%22-2310 Ext <br /> Phone Ext: Fax (253)922-5047 <br /> Fax (925)484-1096 Contact Katle Downie <br /> Email mbrewer@sti-inc com Phone (253) 922-2310 Ext: <br /> CL Submission# 2004-07-0664 Prolect# 246-0783-003 <br /> CL PO# Pro ect Name 98998184 <br /> EFF 1 7122/2004 9 17 OOAM Water <br /> Subcontract-Others 1 pay <br /> ANALYZE FOR EPA B25 = <br /> PLEASE INCLUDE OC WITH FAXED AND HARD-COPY RESULTS to <br /> I <br /> i <br /> E NOUISHED BY 1 RELINQUISHED BY 2 RELINQUISHED BY 3 <br /> 5 lure Signature Time Signature Time <br /> n tW-n�-3 <br /> Pfinlea Name Date Printed Name Date Printed Name Date <br /> Company Company Company <br /> R D BY 1 RECEIVED BY 2 RECEIVED BY 3 <br /> i re Time Z3 ;--„Signature Time Signature Time <br /> Printed Name Date Printed Name Date Pdrited Name Date <br /> Company Company Company <br /> Page 1 of 1 <br /> r <br />
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