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ARCHIVED REPORTS XR0006139
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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1856
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3500 - Local Oversight Program
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PR0544589
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ARCHIVED REPORTS XR0006139
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Entry Properties
Last modified
6/21/2019 12:22:50 PM
Creation date
6/21/2019 9:39:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006139
RECORD_ID
PR0544589
PE
3528
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
02
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
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EHD - Public
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MeCampbell Analytical Inc.4- 1 CHAIN-®F-CUSTODY RECORDPage � nt 1 <br /> 110 Second Avenue South,#d7 <br /> Pacheco,CA 94553-5560 <br /> (925}798 1620 WorkOrder 0211391 <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Country Club Food& Fuel Date Received 11/22/02 <br /> PO Date Pr anted 11/22/02 <br /> _____ Requested Tests <br /> Sample ID ClientSamplD Matrix Collection Date Hold 5W8015C 802181&015 SW82fi0B <br /> — _ 1 <br /> 10211391-001 _ MW1111-21-02 Water11/21/02 - — - L j _B l -- --A -- -C I - -- -- -- - <br /> 10211391-002 �MW2/11-21-02 Water 11!21102 ❑ B A C <br /> 0211391003 MW311121-02 Water 11!21102 ❑ B _ A _ C <br /> � �- --— ---- - - —— --- -- —- - --- -- <br /> 021i391-004 MW4111-2i-02 , Water 11/21/02 ❑ � B � � A C <br /> Prepared by <br /> Comments <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br />
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