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ARCHIVED REPORTS XR0003737
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 XR0003737
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Entry Properties
Last modified
6/21/2019 9:10:50 PM
Creation date
6/21/2019 4:34:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003737
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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ROGE <br /> BLAINE 880 CALIFORNIA9 AVENUE CONDUCT ANALYSIS TO DETECT LAB Sequoia DHS# <br /> AN JOSE,CQRNfA 95112-1105 ALL ANALYSIS MUST MEET SPECIFICATIONS AND DETECTION <br /> FAX(408)573-7771 I LIMITS SET BY CALIFORNIA DHS AN6 <br /> TECH SERVICES,INC PHONE(408)573-0555 ' <br /> ❑ EPA ❑ RWOCB REGION <br /> ❑ LIA <br /> CHAIN OF a El OTHER <br /> CLIENT Z SPECIAL INSTRUCTIONS <br /> E uwva -Karen Petryna I <br /> SITEZ <br /> I O O <br /> 2575 Count Club U N Send invoice to Equiva <br /> Stockton, CA a H o Incident# 98996184 <br /> 00 00 0 .CA <br /> o ; Sent report to Blaine Tech Services, Inc <br /> MATRU CONTAINERS a blp �j Q II <br /> o wry ATTN Ann Pember <br /> lio <br /> SAMPLE ID DATE TIME cn m TOTAL ADD'L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> Mw ll ✓ - 105s w c..v x �[ x <br /> `r � ✓ $ x x �[ x k <br /> se a[ x x <br /> mw �3 �" 12Z3 <br /> V w 3woimp <br /> Mw 4 K11 x �[ <br /> VjI ✓ Ido (vI 1[ <br /> x <br /> mw 7, i $ ' X x 1[ <br /> 1,AwSw�2 1 1 x �c 1[ �. <br /> SAMPLING JDATE ITIME SAMPLING RESULTS NEEDED <br /> COMPLETED trtjgq 11030 PERFORMED IBY L4,T V it NO LATER THAN <br /> RELEASED BYI IDATE i1IMEr � RECEIVED BY 0 IDAT� TIME1 -17 ? <br /> RELEASED BY I DATE TIME REC E B 11DATP ITIME <br /> RELEASED BY TIME RECEIVED B DTE TIME <br /> I JI I <br /> I <br /> SHIPPED VIA NT TIME SENT COOLER# <br /> I <br />
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