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ARCHIVED REPORTS XR0003338
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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2705
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3500 - Local Oversight Program
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PR0544595
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ARCHIVED REPORTS XR0003338
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Entry Properties
Last modified
6/24/2019 12:45:52 PM
Creation date
6/24/2019 10:11:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003338
RECORD_ID
PR0544595
PE
3528
FACILITY_ID
FA0002048
FACILITY_NAME
TESORO (Shell) 68221(WRR 6290)
STREET_NUMBER
2705
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12121008
CURRENT_STATUS
02
SITE_LOCATION
2705 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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TestAmericaP <br /> Page 2 <br />' Sample2dentificatianLab Number Collection Date <br /> - - - _ <br /> These results relate only to the items tested <br /> This report shall not be reproduced except in full and with <br /> permission of the laboratory. <br />' Report Approved By Report Date 12/17/02 <br /> Paul E Lane, Jr. , Lab Director Gail A Lage, Technical Sery <br />' Michael H Dunn, M S , Technical Director Glenn L Norton, Technical Sery <br /> Johnny A Mitchell, Dir Technical Sery Kelly S Comstock, Technical Serv. <br /> Eric S. Smith, Assistant Technical Director Pamela A. Langford, Technical Sery <br /> Roxanne L Connor, Technical Services <br />' Laboratory Certification Number 01168CA <br /> i <br /> i <br /> i <br /> i <br /> i <br /> i <br /> i <br /> i <br /> i '�}1f11 F(I-,l F h r kI ii,iiiu\ DRi%i 1 �-,mii i i 1ti 3%04 015-726-0 177 , 1 015-7 2(j-0954 800-76-)-0(080 <br />
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