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ARCHIVED REPORTS XR0003741
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 XR0003741
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Entry Properties
Last modified
6/21/2019 9:04:10 PM
Creation date
6/21/2019 4:37:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003741
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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Tags
EHD - Public
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SHELL OIL PRODUCTS COMPANY CHAIN� OF CUSTODYRECORD <br /> 77, <br /> a JI�E <br /> FACILI� ID: ' ' i' + y + �` s` �` '5+;, , ' ' , i u �r �n�r, ''t '� `�' <br /> ', Da <br /> te .; r Fit' L+`• ¢ � l ,sr � } <br /> r l ® Consult ' °Pa e' D I rt f 0` <br /> i r 5 Z q S 0 1! "! ? j 1r q She �' t�� ' ,t:n �:xll�,{r, x" es u w� 0 <br /> r'1 MASS TYPEIDETAIL TYPEJ, t <br /> Wcontget' , ..-�� Qk1Lr � n '� 3 <br /> L' '��'�ii��f"I(�r,t_�"wr;�'{i z:,rr i l:',�S'i�?+Y f'f;.[,( t�..ry+k{���,v,„d"`,Yqq,x s"vf,--t s.Wr„t�—I°h”i''tf4,tx!''fr*I t•d,�t•,rp'� o� TIME rC0. 'r 4b>i <br /> ,"-ol+Cr <br /> a5 sl <br /> soet904TURN AROUNDK 3Rt, hr ;etii .,�, ” . 24Q44 hM 15jp � , y <br /> ureAnalvsisReqd <br /> ry)(mi faOs'T <br /> f r <br /> ilr r r <br /> T O r } <br /> A/ Ir} LAB ME-ONLY', <br /> 1E tE `IE1 , <br /> f !!f N <br /> UST l m E w Z m N o o 8 V �? �' Lab Tracking No <br /> AQency�; Sample Time ; m m Co m ,- mi a <br /> Field`Sample ID (military) E 2 z -Z X a CJ L) y L <br /> y a.o <br /> f a_ n <br /> U ¢ U U H O Samp ECondttronlComnents <br /> z (1 S (o c G �3 ; Lj o a O (� `' " ' ' s �y a: �'�1� 29 <br /> R [{r'T <br /> 1D 40 <br /> f� ]]VV <br /> u 11 o(.L'�O` '+ a r� 3 � , r ' ° • �r. <br /> r }/yf4{�� C YL.W l V O lL' +' I <br /> ( ) / ��` " ,1 "�� 0/� {' rr `�� o0 o !S t IYw• f= �± +�,. <br /> x <br /> IN <br /> 1), <br /> +Orly'F 2yG ''�sS _ [� -� Q r /P <f/�YJ O l 4 _ MM ' Cooler Temperature ti <br /> 1� <br /> i € <br /> Material Description <br /> AF j J_wished gnature) Printed Name Date�� Z+ _ck elv ( gnature) nted Na e i Date �f"fir(,q� <br /> y <br /> nA <br /> � SANN rime 10 }`� Vlvt✓+ Time v ; <br /> _ ;+ VI qui d 8 (signature) P te(d�Nam`e�� I Date Z` i signature) Printed Name II Date <br /> l�14 In V 1 Tim 16 l_ + I� Ttme V <br /> 4r i <br /> ro5eil ksh y nature) Printed Name - Date _ Received By(si ture) Pri ed Name Date 4 Z ZK =' <br /> + � 3 ; - 0 7 (VS Tim 22 �r <br /> Time I , <br /> y � <br /> K!RU THE LABORATORY MUST PROVIDE A COPYJ�OF THI q <br /> IN OF CUSTODY WITH INVOICE AND RESULTS I� wSE C <br />
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