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ARCHIVED REPORTS XR0003346
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 XR0003346
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Entry Properties
Last modified
6/24/2019 12:42:45 PM
Creation date
6/24/2019 10:50:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003346
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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TestAmerica <br />' ANALYTICAL TESTING CORPORATION <br /> 2960 FOSTER C,REIGHTON DRIVE • !NASHVILLE TENNESSEE 37204 <br /> 800-765-0980 • 615-726-3404 FAX <br /> 1 Page 2 <br /> Sample Identification Lab 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 r Report Date 9/25/04 <br /> I <br /> Johnny A Mitchell, operations Manageli Gail A Lage, Technical Services <br />' Michael H Dunn, M S , Technical Director Glenn L Norton, Technical Services <br /> Pamela A Langford, Technical Services Kelly S Comstock, Technical Services <br /> Eric S Smith, QA/QC Director Roxanne L Connor, Technical Services <br /> Sandra McMillin, Technical Services <br /> Laboratory Certification Number 01168CA <br /> I <br /> This material is intended only for the use of the individual(s) or entity to whom it is addressed, <br /> lieand may Contain information that is privileged and confidential if you are not the xntenCed recipient, <br /> or the employee or agent responsible for delivering this material to the intended recipient, you are <br /> hereby notified that any dissemination, distribution, or Copying of this material is strictly prohibited <br /> If you have received this material in error, please notify us immediately at 615-726-01'77 <br /> 1 <br /> I <br /> • <br />' www lestamencainc com <br /> TestAmenco Analylical Testing Corporation l TeslAmer. Drilling Corporation I TesiAmenca Air Emission Corporation <br />
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