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ARCHIVED REPORTS XR0003351
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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 XR0003351
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Entry Properties
Last modified
6/24/2019 1:09:28 PM
Creation date
6/24/2019 10:59:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003351
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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Billing Information Stratus Enviromaerrtal Global ID �t <br /> Address 5.170 Cameron Perk Drive EDF r°pnstlytje+.r Alpha Analytical, Inc. a <br /> City Store Zip Cameron Park,CA 96887 Project# �'' - or 255 Glendale Avenue <br /> For 530.676.6005 Phone 53M76-6001 Emall Suite 21 <br /> Report Attention Sparks,NV 89431 <br /> Client USA 835 Sampled by Vince Zalutka ��i (775)355-1044 <br /> Addressh C_IV Jd 'bnrneeIL (775)355-0406 Fax <br /> City Stale Zip Stockton CA Pace 9 1 of 1 <br /> Anasis Requested <br /> O O <br /> a <br /> TAT y a U <br /> Time Date `v' � � (Wo&ng a ul O w M a U <br /> Sampled Sampled Matrix Lab ID or Lab Use ONLY) Sample Desenption Containers Days) � Remarks <br /> t izmrs00s AQ a MW1 HCLVOAs sTc X K <br /> n Ooh P i2rzy"s AQ MW 2 HCL VORs 5MLo <br /> 122Za00s AQ MW 3 HCL VORs M <br /> rzmrz00s AQ MW-4 HCLVOAs sm .., <br /> 5 1( r2rXfr105 AQ MW 5 HCL VOA b sin U <br /> (P rzma005 AQ MW-6 HCL VOA s sro <br /> �f 12=2005 AQ MW-7 HCL VOA s sto t6 ai C` t <br /> D izmnws AQ MW a HCL VOA's sm <br /> s U <br /> q 12=0 AQ MW 8 HCLVOAs sm tw W4 <br /> ,' 4.)12=006 AQ MW 10 HCLVOAli Sm 'r N <br /> r 1 1=005 AQ EVW 1 HCL VOA s sm <br /> O 12=0MAQ EVW 3 HCL VOAs X a{ <br /> ADDITIONAL INSTRUCTIONS <br /> i <br /> S Howie Company Data Time <br /> Relinquished by Vnos Zalutka Stratus Environmental Q L-40 <br /> Recewed by <br /> ReAnquished b <br /> c?<G <br /> _- <br /> Relinquished <br /> Recopied b <br /> Key AQ-Aqueous WA-Waste OT-Other L Liter V VOA S-Sca Jar O Orbo T-Tedlar B Brass P-PEaske OT-Other <br /> NOTE Samples are discarded 60 days after sample receipt unless other arrangements are made Hazardous samples vntl be retumed to client or disposed of at dont expense The report for the analysis of the above samples is <br /> applicable only to those samples received by the laboratory with this COC The liability of the laboratory is limited to the amount paid for the report <br />
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