My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0003552
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
C
>
COUNTRY CLUB
>
2575
>
2900 - Site Mitigation Program
>
PR0541989
>
ARCHIVED REPORTS XR0003552
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/21/2019 9:02:27 PM
Creation date
6/21/2019 4:31:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003552
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
Scanner
SJGOV\wng
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
89
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
• 0 • � <br /> 1680 ROGERS AVENUE CONDUCT ANALYSIS TO DETECT LAB Sequoia IDFIS# <br /> BLAINEAN JOSE,CALIFORNIAFAX(408)573-7771 LIMITS SET BY CALIFORNIA DHS ANDATIONS AND——DETECTION . <br /> TECH SERVICES,INC PHONE(408)573-0555 ❑ EPA ❑ RWQCB REGION <br /> ❑ LIA <br /> CHAIN OF [] OTHER r•��I <br /> C `7 X8 --1A' lJv l <br /> CLIENT z SPECIAL INSTRUCTIONS <br /> E uiva- Karen Petryna <br /> z o <br /> SITE 2575 Count Club 0 Send invoice to Equiva <br /> 00 <br /> Stockton, CA a H � Incident# 98996184 <br /> o � 00 i Sent report to Blaine Tech Services, Inc <br /> MATRIi CONTAINERS m b4 W W -C3 0 ,,� ATTN <br /> 0-4 <br /> SAMPLE I D DATE TIME v, vwi � TOTAL 5 U [� � � �-' O � ADD-L INFRMATlON STATUS CONDITION LAB SAMPLE# <br /> 0,1", ke.c-�- <br /> 3 <br /> /040 <br /> comma- )C td <br /> �4fobccrxw -740 X x k 1e <br /> >e <br /> 4 913q Az -xC <br /> au 4 cc 0ou <br /> SAMPLING IDATE TIME SAMPLING RESULTS NEEDED <br /> COMPLETED I_ygj�p,, 11�p PERFORMED BY D � NO LATER THAN <br /> RELEASED BY DATE TIME RECEIVED BY DAT TIM <br /> 7/3 ) - 3g <br /> RELEASED BY JDATE ITIME RECEIVED B JDATE ME <br /> 12-31 0 713 pv /Z 3 <br /> RELEASED BY DATE ITIME �RECEIV DATE ITIME <br /> SHIPPED VIA DATE SENT ITIMESENT COOLER# <br />
The URL can be used to link to this page
Your browser does not support the video tag.