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ARCHIVED REPORTS XR0003355
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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2725
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3500 - Local Oversight Program
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PR0544596
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ARCHIVED REPORTS XR0003355
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Last modified
6/24/2019 1:59:26 PM
Creation date
6/24/2019 1:22:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003355
RECORD_ID
PR0544596
PE
3528
FACILITY_ID
FA0002064
FACILITY_NAME
7-ELEVEN INC. STORE #14117
STREET_NUMBER
2725
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2725 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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JOB NAME 7-Eleven Store#14117 JOB NUMBER 77EL 14117 04 0702 <br /> SITE ADDRESS 2725 Country Club Lane START DATE <br /> Stockton,CA DATE PREPARED Friday,September 10, 2004 <br /> PREPARED FOR Peng Vang PREPARED BY Tom Miller <br /> SITE VISITATION REPORT <br /> Names) SepDate 17-f4p-6y Did you call in? es No <br /> Arrival Time v "Departure Tame Who did you call'? / ,K,,� v � <br /> Weather Notations SUN CLOUDY RAIN SNOW Temperature F <br /> DRUM INVENTORY <br /> Z WATER CARBON TOTAL OPEN TOP l <br /> SOIL Z EMPTY TOTAL BUNG TOP <br /> HEALTH AND SAFETY ASSESSMENT <br /> - ✓ /dam f f� <br /> Lj mr1[ �r r;�, fiCJar ?P _.._ _ rri <br /> CALIBRATION <br /> EC Calibration Reading q{ <br /> p Two Pt Calibration Reading1l 7,pp Reading 2 p { <br /> DO Calibration 7, Si Auto Calibration Completed Y Yes No <br /> Agitated Water DO Reading -7.L' Pre-Monitoring -?,q( Post-Monitoring J , <br /> DESCRIPTION OF ACTIVITIES ONSITE AND NOTES <br /> �1 t/rVec, ff 1` S? °_ e %e-L-1 tcas42. r )""14 1� <br /> r c it <br /> e <br />
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