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ARCHIVED REPORTS XR0006201
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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1856
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3500 - Local Oversight Program
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PR0544589
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ARCHIVED REPORTS XR0006201
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Last modified
6/21/2019 11:47:57 AM
Creation date
6/21/2019 9:56:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006201
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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EHD - Public
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McCampbell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5550 <br /> (925)798-1620 WorkOrder• 0305373 <br /> Client <br /> Advanced GeoEnvlronmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1116 <br /> Stockton, CA 95215 ProjectNo Country Club Food k Fuel Date Received 5123103 <br /> PO Date Printed 5123103 <br /> Requested Tests <br /> Sample ID CllentSamplD Matrix Collection Date Hold SW8015C 802113/8015 SW8260B_ <br /> 0305373-001 MW 1 Water 5122/03 7 15 00 AM ❑ B A C <br /> 0305373-002 MW 2 Water 5122103 7 00 00 AM ❑ B A C <br /> 0305373-003 MW 3 Water 5122103 7 35 00 AM ❑ B A C <br /> 0305373-004 MW 4 Water 5122103 7 55 00 AM ❑ B A C <br /> Prepared by Sonia Valles <br /> Comments- <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples mll be returned to client or disposed of at client expense <br />
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