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ARCHIVED REPORTS XR0003452
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 XR0003452
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Entry Properties
Last modified
6/24/2019 12:14:35 PM
Creation date
6/24/2019 11:17:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003452
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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y ViaMaiyticaihesapeake 01 EXXON CON rNNY, U.S.A. <br /> TWO Heawood City, CP 946W P 0 Box 2160,11 . "'i.Tx 7!002 1424 0 <br /> (416)364 9600 'FAX(416)364 9233 CHAIN OF CUSTODY <br /> Consultant's NamePage of <br /> _Address-, Via <br /> Project 0. Consultant Project Nj �[�`�� `�f7� Consultant Work Release if (��� �D,'-')L•�f <br /> Project Contact. Qc A 1s Phone H. ��-�, '" - q ��,j�j`` Laboratory Work Release I!--- <br /> m <br /> EXXON Contact. � Phone 0. EXXON HAS 0. <br /> Sampled by(print) r Sampler's Signator <br /> Iir - <br /> '� Shipment Method, Alr Bill H. <br /> TAT: Ell 24 hr ❑ 48 hr ❑ 7211r ❑ 96 hr .Standard (10 day) i ANALYSIS REQUIRED <br /> Sample Collection Collection I Matrlx !! of �56 uaidTPI i/Gas TH t1 7RP11 <br /> 's le,ur,,,eru <br /> Descrlplion Rate Ttma Sop/Www/Air PfSV Cool Sample 11 i 13 fou 0188 ! <br /> 110151 EPA $5Zf] rllbOLI W Suuf Ynb Wu <br /> 8020 5015 UmbLumd,auar Ydb No w <br /> E <br /> ,� ! f� i r�r � { 1 cI9J1 <br /> rwIv 3 �� <br /> w <br /> a <br /> Q <br /> '1�� c <br /> 1 <br /> RELNNi U1Ht:D BY/AFFIL 1A TION Date Tlrna CCEP TED/AFFIL1ATION Dale rh(le RUQ htonal Cormrrerrls <br /> 100, <br /> 4 ��f <br /> O tS~ 4LCfl ' r �� �� Lr t <br /> +�';,�f ' �//'r r i� if � ,�2 r�1�/F9�7� C�_._._ �l � 1-)� t� � C,, `�,-�_ c�•_ ,J� � r r � � <br />
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