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ARCHIVED REPORTS XR0003743
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 XR0003743
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Entry Properties
Last modified
6/21/2019 9:32:03 PM
Creation date
6/21/2019 4:40:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003743
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 Qolo: <br /> RETAIL ENVIRONMENTAL ENGINEERING - WESTI Sorlal No; "1-7)2 2 q-P) _ Pago 1 of <br /> Silo Address: Analysis Re t )-)- i T LA Sr Yti•A <br /> 2575 Country Club _Blvd. , Stockton, CA Y <br /> W IClI:T ., -�ks� iiC NE tll ldx ONLY CT/Dl TURN AROUND IME <br /> SlTel 204-7524-3505 5i0 b low lw�r•rr,o II ❑ est 24 hours ❑ I <br /> l EnPhone No.: <br /> Alex Perez id'P-6168 Sll•lmnllgdbn ❑ 411T ti hours 1:1 <br /> . 675-6172 <br /> Contt l,Tl N?m�& 1dd,ess• low CIO" ❑ ttt2 <br /> a ne ec ervices, Inc. to <br /> tr,aars ❑iNormon <br /> water <br /> 1680 Rogers Ave. San Jose CA 95112 x Cbsslry/Dlrposal ❑ 4443Olner ❑ <br /> Consullant Conlacl: Phone No.; 408- = � m Sag/AV R.rn of Sys <br /> 573-OS55 <br /> Fran Thie Fax 11• 573--77 71 a �_ Q o a l� II ❑ tts2 Not[ Holey tab as 1 <br /> �) 5 ZL ,� Wader Rem.or loan as losslble of <br /> Commonls: b b N �Y oar po of<lt ❑ Mie 24141 his TAT f <br /> O o .n <br /> oE r —A other ❑ <br /> Sampled by: r^ a v o C e N �� <br /> C) 0 0 o. o s �, � �, UST AGENCY: <br /> { Prfnled Nome: �7r,M `/t or -c � m �a o N �� <br /> a 2 r.r a. .. C 0SAMPLE <br /> ry r� " o -n 'Cl o Q- MATERIAL <br /> _. NO of %; o n c a o DESCRIPTION CONDITION/ <br /> Sample ID Dal* Sfudpo soli wafer All coni: r m j U O -t c� a U �I COMMENTS <br /> 1 - - <br /> Due k k <br /> I �f <br /> lollnqulshed 8yn rst. Prinlod Name. y Dale 1 Z ter R oleo (s ro). Ptlnlod_Wnp. II � Dale• 11 1s{ <br /> ngtishod By(sl na nlod Namo. 00101i Roculvod (slpnoluro). Ptlnlud Noma. II <br /> Time ll II limo, <br /> ulshod By( o): Ptlnl ad Name Data 11 R ed (slunoluro) Prinlod N II : r2 jt NI•r <br /> ma 1l �r h vs,1-� l 74 <br />
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