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ARCHIVED REPORTS XR0003435
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 XR0003435
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Entry Properties
Last modified
6/24/2019 11:51:14 AM
Creation date
6/24/2019 11:09:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003435
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
Scanner
SJGOV\wng
标签
EHD - Public
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e�`cal <br /> eD� i i i EMN <br /> Redwood City,CA 94063 P O Sox 2180, Houston,TX 7-1002-7426 <br /> (415)384-9804 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant's Name. v Y^ Page of <br /> Address. ,, Site Location 5i.lj f r <br /> Project#: .' Consultant Project# �� - � Consultant Work Release# <br /> Project Contact: J� hL� Phone # 4 1 L,- 3 - Laboratory Work Release# <br /> EXXON Contact, <br /> �� h {� Phone # EXXON RAS# <br /> Sampled by(p�)nt). �t.h �Jq l( Sampler's Signature �,� i <br /> Shipment Methpd. Air Bill # <br /> TAT: ❑ 24 hr ❑ 48 hr ❑ 72 hr O 96 hr tandard10 day)Y) ANALYSIS REQUIRED <br /> I <br /> Sample Collection Collection Matrix Prsv # Of Sequoia's TPH/Gas TPH/ TRPH Temperature <br /> Description Date Time Soil/Water/Air Cont Sample# BTEX/ Diesel S M d 11 <br /> - <br /> Cont <br /> EPA 5520 Inbcund Seal Yes No <br /> 8020 5015 Outbound Seal Yes No <br /> �~ o <br /> COCr <br /> fu <br /> o <br /> } <br /> I c <br /> Cr <br /> i <br /> L*- <br /> SPIE Y/ FFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> 1 <br />
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