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ARCHIVED REPORTS XR0006109
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 XR0006109
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Entry Properties
Last modified
6/21/2019 12:55:13 PM
Creation date
6/21/2019 10:35:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006109
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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• <br /> 2795 2nd Street, Suite 300 <br /> .�� Davis,CA 95696 <br /> Lab 530 297 4800 l <br /> ANALYTICAL j-t.c Fax 530 297 4808 Lab No 1 1 Page /,Of <br /> Project Contact(Hardcopy or PDF To) California EDF Report? ❑ Yes [ Oo <br /> Chain-of-Custody Record and Analysis Request <br /> Co panylA ess butrKA to <br /> — /3��r •< / piing mpany Log Code - - l�nal]rSIS Request <br /> Phone No FAX No Global ID m x <br /> 3UGG — �3ce ,�3GCoGL-aa��3 - - - o o <br /> CM <br /> s (0 (0 CO w <br /> Project Number P O No <br /> EDF Deliverabt o(Email Address) o m m <br /> m o 6 '� w N " r <br /> Project Na/me Sampler Signature $ _ �i m m m � CO <br /> mCw Cm9 mW pm <br /> Project Address ` <br /> aphng �py <br /> /OG cc"ti eaitt \LO: �4 N N <br /> 1 <br /> LLey� <br /> LL <br /> W m m Ny <br /> ample Designation' i vZO <br /> W CO <br /> 8 C3 <br /> Date Time zv a 0 0 o O <br /> � <br /> r• N n -J w <br /> fiue4� � Int;Ls -3 >< <br /> Relinquished by ale Time Received by Remarks <br /> Relm uishe Dae Time Recei <br /> Relinquished by Date <br /> � !Time R nre y I.Abora �, F �Il to <br /> Dr5lrrb r _ <br /> ul on White-Lab, Yellow File,Pink-Originator <br /> Formslcoc 121001 fh9/ <br />
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