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ARCHIVED REPORTS XR0003553
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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 XR0003553
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Entry Properties
Last modified
6/21/2019 9:16:49 PM
Creation date
6/21/2019 4:32:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003553
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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a <br /> 1660 ROGERS AVENIN CONDUCT ANALYSIS TO DETECT LAS Se uota # <br /> BLAINE AN JOSE,CALIFORNIA 851121105 ALL ANALYSIS MUST MEET SPECIFICATIONS AND DETECTION <br /> FAX(4061573-TT71 LIM ITS SET BY CALIFORNIA DHS AND <br /> TECH SERVICES,ndu PHONE(4a B)573-3555 ❑ EPR i "'QCB REGION Q <br /> CFIAIM OF fJO� } ❑ OTHER M J p O �j c <br /> w <br /> CLIENT Q SPECIAL INSTRUCTIONS <br /> u iva-Karen Petryna p <br /> seTE 2575 Couniry Club chi ld ej Send invoice to Equiva p' <br /> Stnakton, CA �-+ c N >1 Incident# 989961 84 <br /> � <br /> , a w Sent report to Blaine Tech Savices, hir, <br /> AIATRI CONTAINERS a m 45 a <br /> W W ) ATTN Am Pember <br /> ,) p� <br /> SAMPLE I D DATE TI[dE Un 3 TDTAL IY(Kl� U [� O ADD1L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> 2q S-f fe g).)y.av 424 1 ( K K If VV, ti <br /> -- 24-r a c W 7,41 UJ {D tC VV' u4'e : v 01 Tt — <br /> z 4- u 02 C VU i p xx- x <br /> 4S 2C4 <br /> 21 S211C ii,�q 90 <br /> CC 14'ro-t, <br /> r <br /> .a <br /> a <br /> SAMPLING jDATE ME SAMPLING RESULTS NEEDEDCn <br /> °D <br /> COMPLETED ,#�, PERFORMED BY I �l(� �. �, �� NO LATER THAN <br /> RELEASED BY JDATE ITIME RECEIVED BY AA TINE _ <br /> RELEASED BY JDATE T1ME RECEIVED BY tDATIE ITIVE <br /> RELEASED BY JDATE TIME �RECEIV®BY JDATE ITII& <br /> SHIPPED VIA DATE SENT TIME SEW COOLER 9 <br /> a { <br /> I <br />
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