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ARCHIVED REPORTS XR0003451
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 XR0003451
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Entry Properties
Last modified
6/24/2019 12:33:54 PM
Creation date
6/24/2019 11:17:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003451
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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Tags
EHD - Public
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G0b cluoia Andlyllcai EXXON CWANY, U.S.A <br /> 80 Chesapeake Qr <br /> Redwood City,CA 94083 P 0 Box 21130,Houston,7X 77002-7418 <br /> (415)364 9600 FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant's Name. �, ��r,�f � ! — — Rage _Tot <br /> --- -- - - <br /> Address. � C7 �,-�`Gc? _at _ Site Location, c,�� <br /> Protect ii <br /> Consultant Protect J fj Consultant Work Release <br /> Project Contact. ne �` �� ' Laboratory Work Release <br /> ' EXXON HAS # - � U <br /> EXXON Contact. /' R .� hs ''K ne # <br /> Sampled by(print). �� ��e�n5 Sampler's Signature �- <br /> a <br /> Shipment Method. , Air Bill # <br /> NTAT. ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED ���c) <br /> Sample Collection Collection Matrix N of Sequoia's rTEX/as DiesTPIV THPiI Tempeiamm� <br /> Date Time Soil/Waleilft Prsv Coni Sample It 80151 Diesel s <br /> Description p 80 t51 SpA 5520 ltEbauiid 6eol rub No <br /> 8020 8015 Outbound seal Yes No <br /> 0 <br /> X17 It ID <br /> ry1 W <br /> Lu <br /> ' <br /> r <br /> RELINQUISHP BY/AFFILIATION Date Tune CC PTSD/AFFILIATION DateTrine AdditionalConmtenls <br /> �, ��. ' L3o �' 1 <� ��?s 1 k)-u 1 <br />
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