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ARCHIVED REPORTS XR0003449
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 XR0003449
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Entry Properties
Last modified
6/24/2019 12:34:45 PM
Creation date
6/24/2019 11:16:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003449
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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O)w A,ralylieal � <br /> EXXON COMOLY, U.S.A. <br /> 681)Chesapeake Di <br /> fiedwaad City CA 94063 P O Box 2180,Houston,TX 77002 7426 <br /> (4 15)364 9600 • FAX (415)364 9233 CHAIN OF CUSTODY <br /> Consultant's Name Df✓1_7-A E�30i R d � s�Cr Co,uSy�,-n4�-r� �C , Page t of <br /> Address 31 q God CAAtP U2 -kt rI AW—No C.oRbrl & ?SZ;7o Site Location S c,r--r-C3&3� G�4"" � <br /> Project # Consultant Project # t3�- 909 Consultant Work Release# O`I3064C)q <br /> Project Contact 1-()t> &A t_A.n Phone # CR i Co)i (p3 g_zags Laboratory Work Release# 9, ) c <br /> c� <br /> EXXON Contact A RjJ, �rU E�SLf�f Phone # S+O Z-14 _g 7� EXXON RAS # g U <br /> Sampled by (print) J i P Sampler's Signatur -,- G <br /> n. <br /> Shipment Method L,4 e, e t Air Bill # <br /> TAT IJ 24 lir IJ 48 hr IJ 72 lar IJ 96 hr ASlandard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Gas TPHI THPH 1 e,nperalure <br /> p Date Time SollMaler/Air PfSV Cont Sample •11 t3TEX/ Diesel 5 M <br /> Description 8015/ EPA 5520 Otitli una Snd l )es llu <br /> $020 8015 Outluxmd Seal 1 es rho @ <br /> O <br /> Cr <br /> II � <br /> M Z4^f57 <br /> ► A o� (,c)a L172 <br /> 3 x Z r <br /> O <br /> CS <br /> Q1 <br /> L <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Tune AdditionalConrrnenfs <br /> -� n "/?-4/4, 1 Li N5- <br /> 11z`r16ls ���j�~ l K 2cI S(-'L�LIDI d �� jJ/DEL—/ ?4- _4 q-5 <br /> llnC)S <br />
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