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ARCHIVED REPORTS XR0003742
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 XR0003742
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Entry Properties
Last modified
6/21/2019 8:55:38 PM
Creation date
6/21/2019 4:38:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003742
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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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale: <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Sailol No: Page / of,�- <br /> Site Address: Analysis Required LAB: o e <br />� a5 7S��U ►��w" clli�gC�d St�cl� �i��16q - <br /> fCl : 20 _ ^7 ^�� �D!- r�� CNFCK ONE 11)BOX ONLY CUP[ TURN AROUND TIME <br /> I' [.7 7 F— <br /> G W A1on5odnp ❑ 41i1 24 hoots <br /> Shell�fEnglneer: Phone No.: 510 <br /> /%.,Xfe1'�-� Ifigi: swlnY.auodmn KI 4441 sskoum [l <br /> Consultant Name&Address: SagclawGylaaposal l..J 4442 <br /> Cambria, P.O. Box 259, Sonoma CA 95476 aD Water ;�, tsdays WINotnwo <br /> �+ 0 Cauallr/papoaal an.� <br /> ❑ 13Consultant Contact: Ph# 707-935-4854 (r{{--�, Air <br /> Joe Neely Fax - 935-6649 ao u&vMR`" '°'SY' ❑ 4413 <br /> v ul Not[.Reply lab as <br /> D r Walol lem of sys soon as Possible of <br /> Comments: ,d ,� �u Lj O A M ❑ 4463 24/45 its IAT <br /> a o %0 N <br /> U Z Olhol ❑ <br /> Sampled by:J/V a c a- <br /> o ItoP 0 UST AGENCY: <br /> a o <br /> N ` <br /> Prtnled ame: Jc*t �ee'( a a P m o r a a SAMPLE <br /> IS, w- •�U MATERIAL <br /> c a E CONDITION/ <br /> Sample ID Dale sludge sou Water Ali No °� z o 'ar o 0 ri U DESCRIPTION COMMENTS <br /> canis m > r <br /> w -13 , - X <br /> I%kw -13- ID X <br /> tNw -13- IS- <br /> ow -A3 - ao <br /> ow -1� -�S _ a t i 5 i <br /> Mw -t3- 3D ti X <br /> mow- 13 -35 <br /> Ry gna e); N n Nan*. Date, l2 n Roca"( gnalur Psi"Na" <br /> A Data,1 z-�r <br /> 1 lroo <br /> R (�Ignahre): Print Name. Dale. JL-jt--r,> Received(d alms). Printed Name, Da e. <br /> r�+'s <br /> Relinglfsl»d ey 5lgnahre): a Date. Received(51 (plure): Milled Name <br /> alma• J��I,L{ �'�-� r l 001V!U S rrtee• �1 <br /> • ewotao u <br /> 0 <br />
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