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ARCHIVED REPORTS XR0003348
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 XR0003348
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Entry Properties
Last modified
6/24/2019 1:12:04 PM
Creation date
6/24/2019 10:52:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003348
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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� I• � � I• I• � � CHMF C Y ftI� <br /> rrethmerica Nashville Division Pho 5-726-0177 D�' Mo <br /> 2960 Foster Creighton Toll Free 00-765-0980 <br /> IN C 0 A P 0 A A It 0 Nashville,TN 37204 Fax 615-726-3404 <br /> Consultant Name ETIC ENGINEERING Report To Doug Fitzgerald <br /> ` 68723 Address 2285 MORELLO AVENUE Invoice To JENNIFER SEDLACHEK (XOM PM) <br /> �J <br /> City/State/Zip PLEASANT HILL,CA 94523 Account# 10236 <br /> ExxonMobil Project Mgr TED MOISE P0# 4504349419 <br /> Telephone Number (925)602-4710 EXT 23 Fax No (925)602-4720 Facility ID# 7-3708 <br /> Sampler Name (Print) +IJ Site Address 2705 COUNTRY CLUB BLVD <br /> Sampler Signature City,State Zip STOCKTON, CA <br /> w Preservative Matrix Analyze For <br /> n D m <br /> 3 v U3 <br /> 0. Q. ��„ m rn �- CD Qom. <br /> a- <br /> E E U w m O ro r�i m : w l— .� <br /> (n fA Oa tl L7 m cn 3 m m ia— � ~ m <br /> cu O v <br /> E p m z Ci D a w x rn m T � N <br /> i0 d o m Z U 0 rn 0 o r m o <br /> Sample ID I Description Z cD U u- ° = z z s = z o c� � o us rn a a a <br /> Mw1 r c IZZQQI s 1 1 IX JXJ I x x x ti 2-1-717 2 x X <br /> MW4 11 t5'ti 6 X X I X X i X X X <br /> MW5 ll i26' 6 X X X X X <br /> X X <br /> .+ -7 <br /> MW6 tCaWf 6 X1 X X X X X X <br /> MW7 I k` ";. 6 I X X X I X X X X <br /> MW8 I t2lli 6 X X X I X X -717 X X <br /> MW9 JJJ il- 6 X X X I I X X 7 5 X X <br /> MW10 l2 6 X X X X X q X X <br /> VEW1 Wu 6 X X X X X X X <br /> VEW3 17- qJ 6 L X1i X X 2 1 X X <br /> Special Instructions 61-08AL ID#70607700522 EDF FILE REQUIRED a ora ory ommen s <br /> Temperature Upon Receipt <br /> Sample Containers Intact? Y N <br /> G 1Prolec1s173708TabhcIQM Pre Field FoidergPoa COC Asj3709 3rd QUARTER VOCs Free of Headspace? Y N <br /> Relinquished by 0,1 p,, a e Time Received by Date Time <br /> LAW— <br /> RelinquisA by Date Time Recely by TestAmenca Date Time <br /> 3 7�� <br /> PAf;F 1 of 4 <br />
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