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ARCHIVED REPORTS XR0003551
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 XR0003551
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Entry Properties
Last modified
6/21/2019 9:02:58 PM
Creation date
6/21/2019 4:27:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003551
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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! ! 0 dm - "S <br /> BLAINE 1680 ROGERS AVENUE CONDUCT ANALYSIS TO DETECT LAB SEQUOIA DHS 4 <br /> 5AN JOSE,CALIFORNIA 95112-1105 ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTION <br /> FAX(408)573-7771 LIMITS 5E BY CALIFORNIA DHS AND <br /> TECH SERVICES,we PHONE(408)573-0555 [9PA RWQCB REGION <br /> ❑ <br /> CHAIN OF CUSTODY LIA❑ OTHER <br /> CLIENT <br /> I: uiva- Karen Pet na z SPECIAL INSTRUCTIONS <br /> I a � <br /> SITE <br /> 2575 Country Club 0 00 Send invoice to Equiva <br /> Stockton, CA N <br /> _ Incident# 98996184 <br /> � ; Send report to Blaine Tech Services, Inc <br /> MATRIX CONTAINERS 0 �� o <br /> o x <br /> w w ATTN Nick Sudano <br /> a� <br /> SAMPLE I D DATE TIME ifi TOTAL 14 <br /> O � ADD'L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> 1e K� <br /> 3:m b u m w A- <br /> �{ <br /> Oxygenates to Include MTBE, ETBE, <br /> RIPE TAME TBA only <br /> -- r <br /> WPI ING DATE TIME SAMPLING RESULTS NEEDED <br /> OMPLETED W _let + PERFORMED BY NO LATER THAN s <br /> tttl EASED BY DATETIME RECE V YY DAA" / TI G <br /> Ica d � O C/�"" ��(� <br /> kEI EASED BY JDATE ITIME RECEIVED BY DATE TIME <br /> REI EASED BY JDATE TIME RECEIVED BY JDATE ITIME <br /> aAIIPPEO VIA DATE SENT TIME SENT COOLER# <br />
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