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ARCHIVED REPORTS XR0003437
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 XR0003437
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Entry Properties
Last modified
6/24/2019 12:11:02 PM
Creation date
6/24/2019 11:10:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003437
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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e EXXON CONY, U.S.A. <br /> hesapaka Or <br /> Redwood City,CA 94063 P 0 Box 2180,Houston,TX 77002-7426 <br /> (415)364-9600 • FAX(415)364-9233 CHAIN OF CUSTODY <br /> Consultant's Name. ��H- Page J--of <br /> Address: /Ir� LZRW Site Location <br /> Project# Consultant Protect# Consultant Work Release#, r> J`( <br /> Project Contact yy, �� Phone # 4 //---� ' Z Laboratory Work Release# <br /> C <br /> 47 <br /> EXXON Contact h,, �yr Phone # EXXON RAS# 7-3 720- <br /> 04;z U <br /> Sampled by(print) �� �,' �� Sampler's Signature <br /> Shipment Method Air Bill # d <br /> TAT* 1:124 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Gas TPH/ TRPH MTemperature <br /> Description Date Time Soil/Water/Air Prsv Cont Sample # BTEX/ Diesel S M J <br /> 80151 EPA 5520 Inbound Seal Yes No <br /> 8020 8015 f] Outbound Seal Yes No to <br /> �f(p <br /> 0 <br /> Cr <br /> Cn <br /> v Yh w <br /> 0 7145 � `'� K } <br /> `t4S <br /> mit/ <br /> a <br /> Ory0 73`7 �7Cr <br /> L <br /> REL INg E /AFFILIATION Date Time ACCEPTED FF1LlATION Date Time Additional Comments <br /> -- -- - - -- - -- •=- _f' Jfk---1 �� - ziG za <br /> i0 <br />
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