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ARCHIVED REPORTS XR0003436
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 XR0003436
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Entry Properties
Last modified
6/24/2019 11:54:18 AM
Creation date
6/24/2019 11:09:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003436
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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Analytical <br /> D—t <br /> Chesapeake Dr EXXON CANY, U.S.A. <br /> Redwood City,CA 94063 P C Box 2180,Houston,TX 77002-7426 <br /> (415)364-9600 • FAX(415)364-9233 CHAIN OF CUSTODY <br /> Consultant's Name: P., ,4— Page of <br /> Address: 3 y Site Location- wt <br /> Project#: Consultant Project#: <5U y Consultant Work Release#:1300 qi7 <br /> Project Contact �,,,, 4 { Phone#. �� �3�` p�j Laboratory Work Release#: p��a,�Q <br /> c <br /> EXXON Contact Phone#• EXXON RAS#: <br /> U <br /> Sampled by(print)� NASampler's Signatur <br /> Shipment Method. Air Bili vn. <br /> TAT: U 24 hr U 48 hr U 72 hr U 96 hr .Standard (10 day)1q t '�o ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix #of Sequoia's TPF/Gas TPF/ TRPH MTi3E Ten,p.rature <br /> Description Date Time Soluwater/Air Prsv Cont Sample# OTEw Diesel 5 M <br /> 80151 EPA 5520 5DZJ ki6oundfloW Yee No <br /> 8020 8015 0u2xmnd 8sal Yes No 0 <br /> 0 <br /> 3 <br /> rr0 <br /> Vw- 3 7- Iy u7y � � .. la x Y, <br /> 1I <br /> m <br /> m <br /> RELINQH BY/AFFILIATION Date Time ACCEPTED 1 AFFILIATION Date Time addinom)Comments <br /> 1 <br />
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