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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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SJGOV\wng
Tags
EHD - Public
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CHAIN OF CUSTO E0 RD <br /> Nashville Division Phone 26-0177 <br /> Testftmerica 2960 Foster Creighton Toll Free 8 -765-0980 *pnMo <br /> bM <br /> N C a^P o^.T E a Nashville,TN 37204 Fax 615-726-3404 <br /> Consultant Name ETIC ENGINEERING Report To. Doug Fitzgerald <br /> 389752 Address 2285 MORELLO AVENUE Invoice To JENNIFER SEDLACHEK (XOM PM <br /> City/State/Zip PLEASANT HILL,CA 94523 Account# 10236 <br /> ExxonMobil Project Mgr TED MOISE PO# 4504349419 <br /> Telephone Number 925 602-4710 EXT 23 Fax No (925)602-4720 - Facility ID# 7-3708 <br /> Sampler Name (Print) tiA Site Address 2705 COUNTRY CLUB BLVD <br /> Sampler Signature \I a City,State Zip STOCKTON, CA <br /> Preservative Matnx Anal ze For <br /> � � T <br /> 3 ro <br /> n 0) m �, ❑ <br /> N P m <br /> W N 8 06 <br /> C N v <br /> (n w <br /> Vo <br /> co <br /> imG U <br /> CC <br /> W a E 1O x C)c o o <br /> 1 <br /> °o m o Q <br /> M rn u- <br /> Sample la!Description ❑ z z in <br /> MW1 c'- YS 6 X1 X X X X 11 <br /> )'� 3 tZS X X <br /> MW4 6 X1 X1 I I X I X I X I ad X X <br /> MW5 {��W;; g X X X X X q� X X <br /> MW6 6 X1 X X1 X X 0 X X <br /> MW7 14 6 1. JXJ X L I Xl 1 1 X I X I logX X <br /> MWS -1 a 6 1 1 X X X X X fl X X <br /> MW9 is 6 X X X X X X X <br /> MW10 5 6 X X I X I X XRs <br /> X X <br /> VEW1 q �� g X X X X X X X <br /> Mri <br /> XSpecial Instructions GLOBAL ID#T0607700522 EDF FILE REQUIRED ora ory omm <br /> Temperature Upon Receipt 'rte G <br /> Sample Containers Intact? Q N <br /> G 1Prolec1917370Mbbc\QM Pre Field FolderJ3708 COC 4913708 3rd QUARTER VOCs Free of Headspace7 (R) N <br /> elingVished by ti,ti ErryK Irl ate Time Received by <br /> Date Time <br /> 14'�� <br /> Aelinq�is ed byi Date Time Received by Tes menta Date Time <br /> g�2/� 7S4 <br /> PAGE 1 of 1 <br /> U <br />
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