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ARCHIVED REPORTS XR0003751
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 XR0003751
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Entry Properties
Last modified
6/21/2019 9:18:29 PM
Creation date
6/21/2019 4:43:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003751
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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18ELL OIL COMPANY CHAIN OI+ CUSTODY RECORD D4 -An _p 7 <br /> RETAIL. ENVIRONMENTAL. ENGINEERING - WEST Serial No; Page / of � <br /> Silo Address; a 575 Coate �[ctb 5 kPy t AnnS'-e uaCa <br /> Analysis Ren_ulred LAD: <br /> ICY' CHECK 0111 111 Box OLIN CI/AI IQRII AROWIU ME204- 75aq - 3505 <br /> C W monvoiing l_j 4411 I <br /> 57T74 hours n <br /> Shelf Engineer. Plin6ln 5N bGb m ill■Inv■rllpolon 4441 <br /> Fax r�i. 6 tai A 41 4r,hours E! <br /> Consultanf Name & Address: P.O. Box 259 souclauuylauparnl CI 4443 16 days Illo,maq <br /> Enviros Inc . , Sonoma , CA 951176 °° war. �� J/4� <br /> 0 �, cln.rmyraur"�al olh.r n <br /> Consullanl Conlacl. Pig a N _ ,* Ln <br /> Joe Neely `L� � � La d) O,/�I,R.rnnrSys � 44s� <br /> Fax _ �-664 D m a Irorf HoWy Iah a: <br /> n .- wafer Rom ar SYS 4<3] coon as/onlW.or <br /> Commenls: n 4a Ti L nae El24116 hlr 1Ar <br /> z Olh■r <br /> Sampled by: �V ;� <br /> �f 6 n c <br /> C) {o f?) D_- ° Ul r UST AGENCY: <br /> < <br /> -(a.Name: N n n. G f] c n <br /> 2�� a <br /> 41 Q'I o n a rx MATERIAL <br /> 1`10 of SAMPLE <br /> c n- E CONDITION/ <br /> Sample ID Dale Sludae Solt Wafer Air o a a a) a DESCRIPTION <br /> coni] m > r- u d U n_ u COMMENTS <br /> n� <br /> �j�ah <br /> Mw — V ~•• -7 I <br /> 6-13 <br /> f4w - 1 - A x <br /> M w- $- t K <br /> tK — � - - <br /> 77). <br /> Re nq s ay gnp Ewe). Ninled Hum <br /> Dale'2- )—g Roca a (110 lino . Pllala lame. Dais, <br /> lliagnoawl b nalwo): Mnlod Llama: Iama D'aU fC V [1mg� do <br /> Y11 0 Data Race- (sl n l la), Prinlad Nalna Dgi4. <br /> IImQ� flrno <br /> RaNnct(Ashed ay dgnalExe). Printed Mama. Dale. Racelved(slunalure). Pdr-11ied��Nama Dale. <br /> flora <br /> IEIARQRATQRYIA 15TER01DE.ALQ1_Y_QEll I131HAlt]-Qf--fll5fQ1!Y-W1III 111YQIQ API ALauLi <br /> hMdarl b .apa� <br />
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