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ARCHIVED REPORTS XR0003455
EnvironmentalHealth
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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 XR0003455
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Entry Properties
Last modified
6/24/2019 12:37:44 PM
Creation date
6/24/2019 11:18:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003455
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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Z � EXXON C MPANY, U.S.A <br /> fr o fox 2 tsa,tlouslor,,Tx 17002-7428 <br /> CIIAIN OF CUSTODY <br /> Berkeley,CA, 2323 5111 S1,94110 [Divine,CA 2495 I)a VM0,Ild 92714 <br /> (5 10)408 0900 (114I262 9100 <br /> Curtis & Tompkins, Ltd. <br /> ConsullanI's Name: �E�,�-p� �n�vtlt�ryY,,�EN �, �,� a� Page_L,of <br /> Address- 333p��rfl +72ruE�� O Site Locatlon;__STDC.g <br /> Project #, Consultant Project I1: Consultant Work Release #: <br /> i'rof ect Contact `t"ob'r--, Gfkr_!!M Phone ht, N10 (03'9- Laboratory Work Release #: <br /> EXXON Corltacl MN Rt..P Phone ll. EXXON RAS #. -- 3? O <br /> Sampled by( rinl), 6A-mi%. k4i t_L_ — Sampler's SI nature' f <br /> Sht went Method UPS Air 13111 M <br /> rAt 024 hr [:148},r [J72 hr EJ96 hr [ASlandard(10 day) ANALYSIS REQUIRED <br /> Will Mll Wil Temperature <br /> Collection Collecilon WIN Prsv Hol C &T GAS/ Diesel <br /> Sample Desvilpliorl Dale little SoftVtalellAlr Coal Sample ll 131 EX! EPA EPA Inbound Seel Yes IIu <br /> 80151 1#015 4181 <br /> 6020 Outbound Seal Yes Ito <br /> I? <br /> W-4 ~l Z 1<I S 3 — <br /> _ M uJ-`1 <br /> - -fidw-$ A3D 13'Ar Lk) IkL' 3 —� <br /> 9AOli qulahed bylAlllllallon Date lhne Accep(411AIII11afloit Date Tlrne Additionaleomme0i <br />
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