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ARCHIVED REPORTS XR0003374
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 XR0003374
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Entry Properties
Last modified
6/24/2019 3:19:41 PM
Creation date
6/24/2019 1:38:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003374
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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r✓1f o �z r`� (tet/�E ,9 �/ , ,C e�z 't� <br /> 0 Chesapeake Drive • Redwood City, CA 94063 • (415) 364-9600 FAX (415) 364-9233 <br /> J 819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (9 16) 921-9600 FAX (916) 921-0100 <br /> J 404 N Wiget Lane • Walrut Creek CA 94598 • (510) 988-9600 FAX (510) 988 9673 <br /> Company Namev�} Protect Name LI �/ - J C, ��� C— <br /> Address 7 _ (I& /� B Iling Address ( if different) <br /> City �c�� �L� State CA Zip Code <br /> Telephone ? Z S �70 FA 7U PO # <br /> U <br /> Report To cc c . �cz-- Sam ler QC Data J Level D (Standard) J Level C tiJ Level B J Level A <br /> Y <br /> Turnaround J 10 Working Days J 3 Working Days J 2 - 8 Hours J Drinking Water A al ses Requested a_ <br /> Time J 7 Working Days J 2 Working Days ( J Waste Water <br /> J 5 Working Days �24 Hours y'-" 1� �c� r J Other <br /> Client Date/Time Matrix #of Cant Sequoia's ���� . y,\� <br /> Sample 1 D Sampled Desc Cont Type Sample# v Comments <br /> 711 7lY P 6 117-% <br /> 4 1, -Z �,o <br /> 2 U) <br /> 0 <br /> 3 <br /> m <br /> 4 <br /> 5 <br /> 6 <br /> c� <br /> 7 0 <br /> a <br /> a) <br /> 8 rn <br /> a� <br /> 9 r <br /> 10 <br /> Relinquished By Date irrie Received By Me- -- <br /> Relinquished By e -- Receivfec�y- / Date �Irne <br /> Relinquished By Date Time Received By Lab Date ��alme rIJ ,> <br /> Were SampSeceived in Good Condition? J Yes J No Samples on Ice*es:1 No Method of Shipment Page <br /> MM M � M � <br />
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