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ARCHIVED REPORTS XR0003439
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 XR0003439
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Entry Properties
Last modified
6/24/2019 11:52:43 AM
Creation date
6/24/2019 11:10:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003439
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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SaAnalytical EXXON COMODY U.S.A. <br /> sapeake Dr <br /> 0 <br /> woRedwood City, CA 94063 P 0 Box 2180, Houston,TX 77002-7426 <br /> (415)364 9600 • FAX(415)364 9233 CHAIN OF CUSTODY 9K) SZ. <br /> Consultant's Name u.1 ham.�� J h C Page _L__of <br /> Address v. Site Location �Sko k�,_� <br /> Project# Consultant Project # Consultant Work Release# <br /> Project Contact Phone # 6k, �� _ Laboratory Work Release# <br /> c <br /> EXXON Contact <br /> ,r�� s,^,, �,— Phone # Y} EXXON RAS# t , <br /> U <br /> Sampled by(print) Sampler's Signature Y <br /> c <br /> Shipment Method (?�,r,�,� J Air Bill # / 0- <br /> TAT. ❑ 24 hr :148 hr ❑ 72 hr ❑ 96 hr (Standard (10 day) ANALYSIS REQUIRED <br /> i <br /> Sample Collection Collection TPH/Gas TPH/ TRPH <br /> p Matrix prsv # °f Sequoia's _ Temperature <br /> Description Date Time Soil/Water/Air Cont Sample # BTEXI Dlese! S M <br /> 8015/ EPA 5520 ���) Inbound Seal Yes No <br /> 8020 8015 <br /> Outbound Seal Yes No <br /> Cr <br /> ate, <br /> r ��tf�t—j <br /> 1 I 6 <br /> T- 00115– <br /> ILL :3 <br /> 0 <br /> (!7 <br /> L <br /> RELINQUISHED BY/AFFILIATION Date Time CCEPTED/AFFILIATION Date Time Additions!Comments <br />
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