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ARCHIVED REPORTS XR0005820
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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1876
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2900 - Site Mitigation Program
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PR0542421
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ARCHIVED REPORTS XR0005820
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Entry Properties
Last modified
6/21/2019 1:55:54 PM
Creation date
6/21/2019 10:25:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005820
RECORD_ID
PR0542421
PE
2950
FACILITY_ID
FA0024377
FACILITY_NAME
COUNTRY CLUB BLVD/295950
STREET_NUMBER
1876
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319101
CURRENT_STATUS
01
SITE_LOCATION
1876 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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r �` �USAMPLE CHAIN COCUSTODY RECORD <br /> DEL-TECH GLOTECHNICAL SUPPORT (PLEASE PRINT) Lab. Analysis by : S*E�4wlth%v <br /> 10624 OLIVE AVE. OAKDALE, CALIFORNIA 95361 LAB INVOICE TO � <br /> OFFICE (209) 847-8757 99 <br /> FAX (209) 847.7744 RECORD 6 OF PH # <br /> CLIENT 1 CONSULTANT: P O # IiNv ICE# <br /> r <br /> ANALYSIS REQUESTED SITE SAMPLE MAP <br /> (ITEMIZED AND CIIECAED REIDIF) To sect, <br /> PROJECT t SITE NAME ���"Q} ��� IISURTH <br /> STREET <br /> 1 N96 LIM, CITY 9"` F % STATE <br /> 1 <br /> ������ HIP VIAS <br /> SAMPLER.(PRINTED SIGNATURE) WAYBILL# <br /> [: <br /> NUMBER TYPE � ¢ �� <br /> E <br /> LOCATION FICATION) MTlIJITA171R HOUR l MIN CONTAINERS COMPOSIT&) ��TRIX REMARKS/* SPECIAL INSTRUCTIONS BELOW <br /> I) 14AA . 1 1 L <br /> 4) <br /> 5) <br /> I wc,.,h;tc <br /> 6) rvv - 11 1L1D 4. <br /> — 3 �s$ Zl1a <br /> O -cy' p Ulm <br /> lo <br /> Oil►- - '- <br /> � <br /> ^� •�SAMPIE INTEGRITI/CONDITION&TURNAROUND TIAf1; •� <br /> "{1 RECEIVED COLD&INTACT I I m NO <br /> F N 1ISII$D 0 DATE I TIMEgq D RECEIVED BY DATE I TIME PRESERIATII ES USED 1r )PS NO i <br /> CI1STODl SEALS INTACTI'II ES NO NCA. <br /> A IR BUBRLES IN V 0 A S I l RS i } N00%:D I INE X <br /> ELINQUIgIIED Bl 6M MArI Rb )ATE I TIME RECEIVED 81 ATE I TIME. <br /> T LrRN AROI ND TIME CNF CA O%F <br /> ELINQ1.11911ED Bl ATE/T1 ME %FIl/I TIME q12 11 HOUR i } JB HOUR � � � DA1 � ) 10 DA1 <br /> \OTL LABORATORY SAMPIA ARCHIVING WI1 L BL 311 DAYS HRO11 FHL DATH SAMPI E WAS COLA M-TLD,l VI FSS OFHLR ARRAINGLMFNTS ARI:MADL <br /> PI FAST RFTURN DFl,-TF(.H'S ICH GHb.S F AND BI OF 10 AS SMN AS POSMBI H (HANK YOU DPI 1 H(,H 1.ORN1 (,O(, <br />
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