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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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ELL OIL iiCOIAPANY MAO' OF CUSTODY RECORD oat -pr_T-Ct7 <br /> R AIL ENVIRONMENTAL ENGINEERING - WEST Serial No: Page I of I <br /> Site Address: <br /> - 9575- �I BlU 0r-krOA Analysis Required LAB; :�R&iohq <br /> WICK: II <br /> 204— 75,a ' 3 5 0 5 CHECK ONE(1)aOX ONLY I CUD] TURN AROUND TIME <br /> ca G W Monllodnp �J 44a1 <br /> Shell Engineer: PhoneNo- 24 houn ❑ <br /> i'U4 F 7_ 6 5-6) $ SR•Invdlpolon N 4441 4�haun <br /> Fax '?2-61Ta _ �' [I <br /> Consultant Name&Address: I P.O. Box 259 - � � SonC1a•6Ry/0hpowl ❑ 4142 <br /> Enviros °Q I6days ®(daimon <br /> Inc.- , I Sonoma CA 95 a 76 _ wa1., <br /> clanRylOhPotal ���� <br /> Conwllant Contact: P9 ne No., 07 o .s� °1hi� ❑ <br /> Joe Neel 48 1^� a�/i4 Run w bye „%2 <br /> '9 Ifax #: 91'55--6611 B 0 4 m NOTE Nolllylabas <br /> Comments: <br /> Wal01 ROM or S <br /> 11 Y i4S] 1oOn as/ouR�1•Of <br /> Jill O o O a M ❑ 24141hu TAT <br /> Sampled by: J V w a } <br /> �► LI) ° UST AGENCY: <br /> so 0 <br /> Prfnled ame: <br /> c o <br /> a1 „ <br /> �' a MATERIAL SAMPLE <br /> II g No of EL►°� u .i u DESCRIPTION CONDITION/ <br /> Sample ID data scud Soil warar Alf cools ° ° _ _ 0 ° COMMENTS <br /> Dl �prr L7t, <br /> 40 <br /> 9W — [ A 97 I X X _ C.c3v1� ID S <br /> z 3 58 <br /> i 11 - � <br /> Re nq dy pna ura): I Pu n e Dela.11 R d(Unalure), Pilnl Mama. <br /> 1.1 fV V laf� �i D4Ie:l� <br /> =RVAyjjj11gn <br /> (d tura): PTlnled Name.• .--- Dale h-3-�� Received(dQruT ra); a ro <br /> IlrL,�,_ 1f time <br /> alura): I t'rinfad Noma: Dasa: Race ed(d nalure): Printed N nate,ll �, <br /> Time: / 4 pars <br /> IIME ILABORATORY"Iff P1 <br /> 1, MMCICM Miuec, <br />
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