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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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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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I <br /> i <br /> 2795 Second Street,Suite 300 Cal Science Environmental <br /> FJrA <br /> � Davis,CA 95616 7440 Lincoln Way <br /> Lab 530 297 4800 Garden Grove CA 92841 <br /> VALYT/CAL ccc Fax 530 297 4'808 03-07--0M � <br /> Protect Contact(Hardcopy or PDF to) 714-$95-5494 Lab�!o Pagc i pf 1 <br /> °g Kiff <br /> Geotracker COELT EDD REPORTS Chain-of-Custody Record and Analysis Request <br /> J <br /> CampanylAddresS --YES _X_.._NO <br /> w <br /> Klff Analytical, LLC <br /> Sampgng Company Leg Code Analysis Request <br /> Picone No FAX No Global ID 00 W <br /> Protect Number PO Pio EDF Del '-n <br /> Deliverable to(Email Address) co +� <br /> 315200 >, <br /> Lo <br /> Project Name N O a <br /> FLE-mail address = � mSANCHEZ rtbox ktffanal tcaf tom CL �. eD <br /> Project Address Ir- <br /> Sampling <br /> Sam lin Container Preservative Matrix GO p <br /> Sample � ` <br /> P � m o o: � <br /> ©esignation Date Time � U o "' o M a O D- W <br /> t7 a d� N 2 i z z o W W <br /> Out 2/14/2003 1230 1 1 11 1 X x X X <br /> W <br /> TI <br /> I> <br /> D <br /> r <br /> H <br /> n <br /> I> <br /> r- <br /> I <br /> Relinqusst�d by Date Time Received by Remarks <br /> This is a revised COC,now with the preservative for <br /> the 1 Liter amber for EPA 418 1 listed as Sodium <br /> eimqulshed by [late Time Received by Thiosuifate if you have any questions please tail <br /> Troy at(53(';247-4801)ext 11+ > <br /> Rerrngrnshed by n <br /> Date Time Recenred by Laboratory Bill to M <br /> m <br /> m <br /> N <br />
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