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ARCHIVED REPORTS XR0003462
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 XR0003462
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Entry Properties
Last modified
6/24/2019 12:42:35 PM
Creation date
6/24/2019 11:20:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003462
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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EXXON C04vw, U.S.A. 4Z0q 2 qcr..e, ' <br /> P 0 Box 4415, 1fouston, 1X 77210-4415 <br /> CORPORnrED � CHAIN OF CUSTODY <br /> HE ASSURANCE OF R U A t+T r 2roo"Novato, CA, I I Digital Drive, 94949 ❑ Huntington Beach, CA, 5702 Bulsa Avenue 92619 <br /> 415 883-6100 714 892-2565 <br /> Consultant's Name It4 C.. I'J U• cry-)5• <br /> Address !3//��� p�� 2 �y 1 �/ I Site Location Aill trlolJ U <br /> Project # `GV' ! �'��8 Cunsull int Prn ec,t p (VO, 3 Consultant Work Rcluaat. 11 03 7/1 <br /> Aro act Contact 4- Phony N O k5-Fax II 2j ?3k6laboworXWork Re],-ase# <br /> EXXON Contact EE ❑ C&M Phona # -610 Sq` 5i7 7(0 Fax N EXXON RAS N <br /> Sam led hy (print) I PA Sam lLr s Signature tlu' / �7 q <br /> Shipment Method �i � 5 Air Bill # Z 3`� -7Slo l -2 7 L Sht merit Data <br /> ANALYSIS REQUIRED Sampla Condition s% RL«ttiLd <br /> TAT &4-4-h) ❑ 48 lir ❑ 72 hr ❑ Standard (5 day) <br /> Tcmpuahtn° C � <br /> X Cantar <br /> F o Inbnund Sas! Y�., ti <br /> M 000 Outbound Swl <br /> uj vs Uvi <br /> Sample Desenption Collection Matrix Prsv p of PACE v oao Q 000 <br /> Date/Time Soll/Water Cont Sample# X Q ¢ ax Q COMME`vIS <br /> CL a a a to G. <br /> Hw E- w F- LU <br /> Zsr z �o� w 3 417 a , <br /> w ggal 34�.� fiitrt� <br /> w uJ 3 4-447 X t 1 <br /> w • llqk 3qf.3 <br /> Mw , � 3 . I 404 <br /> 17,2-1r7.- <br /> Relinquished bylAffiliatton Date Time Accepted by/Affiliation Date Time Additional Cmmniants <br /> I <br /> c Qonl I <br /> W, <br /> Diainhuuon White-Original Yellow- Exxon Pool Lab Goldenrod-Consultant Field Staff <br />
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