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ARCHIVED REPORTS XR0003752
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 XR0003752
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Entry Properties
Last modified
6/21/2019 9:27:24 PM
Creation date
6/21/2019 4:43:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003752
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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S*L OIL COMPANY 49AIN OF CUSTODY RECORD Dale:w�;& <br /> `- RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No. ?Oo?46'���I Page � of ,-,-? <br /> Silo Ac(dress. <br /> 2575 Country Club Blvd. , Stockton, CA Analysis Required LAB: 5`Q <br /> WIC#: CHECK ONE(1)SOX ONLY CT/DT TURN AROUND TIMI <br /> 204--7524-3505 k4 <br /> G w MonRoring C] 4151 24 houn ❑ <br /> Shell Engineer. Phone No.: 510 <br /> 7 -b168 $NOInralwdlonR. Jeff Granberry 1FA _ aAhaun ❑ <br /> Con�(�Ilgnl Nym%&SAdd(ess 8 SoNCkus4/DAposal C] 4"2 <br /> alne ec ervices, Inc. to ISdays ❑(Noirm4 <br /> 985 Timothy Dr. , San Jose wol.r CA 95133 X c�a.�Kyros.r".al ❑ �3 Met ❑ <br /> Consullan! Contact: P 408 � <br /> Fran Thze ��P�'� �s r Soll/AkRem orSys <br /> tu 4As2 <br /> Fax N 293-8773 d °i .n °+ NOM NoruyLob as <br /> Q <br /> < Water Rom of Sys Loon as ioodble al <br /> Comments. �, <br /> .O O•M MS3 22/I8 his TAI <br /> O O 0 Hnc <br /> Sampled by. tn (L) <br /> m M 4 a N UST AGENCY: <br /> CO oa Q O O a1 O A <br /> Printed Name. Woy lfte-- w w w (D o n �► 0 SAMPLE <br /> .. a a MATERIAL <br /> No of M � X„ N n ,r ° CONDITION/ <br /> Sample ID Dale Sludge soil Waler All coals fO, m j �, 0 d t1 a 0 DESCRIPTION COMMENTS <br /> tv <br />' new <br /> MWX/ <br /> � <br /> I� 7 <br /> XI L I I I <br /> Rol hoo B ti r ) Prinled Name. Dula acalvo gnu uro Prinl a Data <br /> Kf rQ / �/l�,�/t/l Time a� /f C iI er O <br /> Rvlln od By Ulu Prinlad Name. Dale ecoNed (slgnalura) Pllnlad Noma DQIe, <br /> A Tlma rima <br /> 4a11n ulshod By(slgnalulo) Prinlad Noma Dale Rec Ivvd(slgnal v) POW Nama, r Dalo �/0 q <br /> ilmo G r r1 S{ 1 ji'mo 131. <br /> THE LABORATORY MW PRS2YIQE 6 QQCY QE Till$CHAIN QE CVSTQDX WITH INYOI!;E ANQ RESULTS <br /> snr a ari w a..m <br /> c <br />
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