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ARCHIVED REPORTS XR0006584
Environmental Health - Public
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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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1403
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2900 - Site Mitigation Program
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PR0505513
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ARCHIVED REPORTS XR0006584
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Entry Properties
Last modified
6/21/2019 9:43:10 AM
Creation date
6/21/2019 9:02:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006584
RECORD_ID
PR0505513
PE
2950
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
02
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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uatio,�arvls unve •Morgan Hill,CA950371, (408) 77B ODD• FAX (448) 782-0308 <br /> • No 007300 '819 Striker A rte 8 -Sacramento,CA 95834- (916) 921-9600 - FAX (916) 92100 <br /> ❑404 N ftei Walnut Creek, CA 94598 (925) 988-9600 - FAX 925 988.9873 <br /> TOSCO { � _ <br /> ❑ 1455 McDowell Blvd North,Suite D - Petaluma,CA 94954•• (707) 792-1665- FAX (707) 792-0342 <br /> ❑ 1551 Industrial Road • San Carlos,CA 94070- (650)232-96DO -FAX (650) 232-9612 <br /> Consultant Company C o osco Engineer R�[S � <br /> Address• 3 )� X-&c fZ�/ Site# j� <br /> Cir- t ve,49 State Car Zip Code ?T-K }o Site Address f Ll p C d fah t C <br /> Telephone f/,I _ u c fc,0 Fax i# G/�U�r 3p City,State. d <br /> Report To '���*� �� <br /> Apr*,, Sampler n4 QC Data Level D (Standard) p Level C p Level B p Level A U <br /> Turnaround 10 Werk Days13 5 Work Days ❑ 3 Work Days ❑ Drinking Water Analyses Requested a <br /> Time. ❑ 2 Work Days ❑ t Work Day Cl 2-6 Hours ❑ Waste Water <br /> p Other <br /> Project Coding <br /> i <br /> Chem Date me Matruc It of Cont Sequoia's "S <br /> Sample I D Sampled Desc Cont Type Sample 1 Comments <br /> 1. lY P4 ' is' 4l.- 1 <br /> 4 <br /> 2 <br /> QY <br /> 3 <br /> 4. m <br /> kn <br /> 5 <br /> 6 <br /> r <br /> J 7. <br /> a � <br /> 9. <br /> n <br /> Relinquished B Date•!2-S <br /> � q Y Timt3�t{)` Recfiivf�d 8 r Date- ! Tim •a!) 3 <br /> 53 <br /> n Relinquish Dat Time-//2U Received BY Date 46-101 Time lfZZ <br /> .1 6- 1Relinquished B DateTime: Received 8 Date- Time, <br /> 9 <br /> Were Samples Received in Good CondlhonP>1Yes p Flo Samples on k: Yes ❑ No Method of Shipment tRE Pape % of r <br /> v <br /> To be oompteted upon reoenpi or rrspnrt <br /> a 1)Were the analyses requested on the Chain of Custody reported? ❑Yes ❑No If no,what analym are still needed? <br /> 2)Mis tha report issued wftn the requested turnaround time? ❑Yes ©No It no,vAial was the turnaround tirne? <br /> Appvved by Signature Carnpany, Dale <br />
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