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ARCHIVED REPORTS XR0003358
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 XR0003358
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Entry Properties
Last modified
6/24/2019 5:26:55 PM
Creation date
6/24/2019 1:23:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003358
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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2795 Second Street,Suite 300 Cal Science Environmental <br /> Davis,CA 95616 7440 Lincoln Way <br /> Lab 530 297 4800 Garden Grove, CA 92841 d�� <br /> �, MALYTlCA[ 1.1c Fax 530 297 4808 714-895-5494 Lab No Page _L of -I— <br /> Projeet Contact(Hardcopy or PDF to) Geotracker COELT EDD REPORT? Chain-of-Custody Recar Analysis Request <br /> Joel K _YES X NO <br /> Company/Address m m <br /> Kill Analytical,LLC Sampitng Company Log Code Analysis Request o a <br /> Phone No FAX No Grobal 113 <br /> Project Number PO N3 EDF Deliverable to(Emali Address) U o E <br /> E 771;L 14117 0439669 Q Y £ o E 04 o <br /> Project Name E-maiI address vi Q y 2 n <br /> _ U Y _ <br /> 7-Eleven Store#14117 lrrbox krffanai Ica(com Z 75 ¢ <br /> Prosect AddressC Z c 0 <br /> Sampling Contalner Prose vative Matrix 12 ::> <br /> z r U U a <br /> e) m [, Z 0 Cn � U v a M >i <br /> Sample� ° aim m °z � � aarr ¢ � � � x o o <br /> Designation Date Time V a d co H = x r N w a U rn t— Z 2 m [i 12 <br /> Mw-1 8116104 14 00 8 41 XXX X X X X X X X X X X X <br /> I <br /> Z <br /> ulshed by ! to Time Recelved by Rerrraft <br /> a c 0 O LSL- <br /> RelinquISWANf tate Time Recehred by- <br /> hquisbedby, Date rima Race t7orato[y elp>a <br /> gl7ay D <br />
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