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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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SHELL OIL COMPANY _ CI IAIN Of CUSTODY RECORD Dale: a6-J4n47 <br /> RETAIL ENVIRONMENTAL. ENG114EERING - WEST Serial No: Page / of <br /> Site Address; <br /> 6535- Cocim2y club A)ataq, Ct Analysis Required LAR: SepolA <br /> lCK 204- 5a - 3 5a 5 W CHECK Gill(1)box OIIIY cunt TURH AROUND TIMI <br /> ., G W 14onbminp ❑ 4161 <br /> Shell Engineer: Phone No : .� a4 noun ❑ <br /> FjrJS—(�Lb$g IM�Invodlpolon 4411 <br /> Je4-GvA"b�'Y Fax �►_: '¢l_7� 48 bows Cl <br /> ConsullaFii Name 8r Address: sob ClaspUVJrllspasal ❑ 4442 <br /> P.0. Box 259 If days w(llairml) <br /> co <br /> Enviros Inc . , Sonoma CA 1 6 Waller ❑ 444] <br /> ] Claa�llyla�Po+ol Otho ❑ <br /> Consullani Conlacl. PU77 <br /> N 07Sap/Alrp�moiiy�Joe Neel 4 57 G,M 446: <br /> Y f3S' -6611 °' a �, IfOFE floury lab of <br /> (� p q- Wale Rom m lye won as/auR�(o al <br /> Commf�ntS: d e' n s Al E) "63 24141 Au IAF <br /> "O b <br /> 2 " t� �' z 01n.t10 1`10 'U ❑ q`7 0 <br /> Sampled by: J 10 ' ' tai o c y i <br /> o (?) o cn UST AGENCY: <br /> co <br /> Pflnled Name:Joh lvv n4-, �' a A MATERIAL SAMPLE <br /> Q' w E CONDITION/ <br /> Sample <br /> Sample ID hate Sludge Solt WQIeF Ali confsNa l j r u u u DESCRIPTION COMMENTS <br /> w -7-16. 5 /7 1 <br /> MW -=7 - al.S <br /> Rl�-at-6.5 <br /> aur -441- 11 x <br /> R4 nq ) by( gna e). Plintod Nam��f Ua1e. Z� Race d(dna a). Pilrl d Nan I)ato; 7 QT <br /> �'�- !'�Qi{f�y TGilo. Id3� _. [line. am <br /> Rued by(lana) e), PrInled Name. 0010. Re ved ilplta ule). Milled Name Dole: <br /> lhile; rime; <br /> R&Kng1l[blt4td by blpnalute). Pdnlyd Name. Dole. Recetv0d(dnnalula). NInled Hume. pale.l-Zq-a-r <br /> Ilius AeZdd 120LWT�nG-S llrrw, l 2 <br /> �latm>tF,�. 111E lAD4RATOR MUST PROVIDE A COPY Ot11113 CIIAI - - ICE Ar)TZHESULT nMcaOn a Woo. <br />
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