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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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SJGOV\wng
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EHD - Public
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2795 Second Street, Suite 300 Cal Science Environmental <br /> Davis, CA 95616 7440 Lincoln Way Q <br /> Lab 530 297 4800 Garden Grove, CA 92841 a 3-- 6 z w- �d 6 <br /> ANALYTICAL LLC Fax 530 297 4808 714-895-5494 Lab No Page _J_ of 1 <br /> Project Contact(Hardcopy or PDF to) Geotracker COELT EDD REPORT? Chain-of-Custody Record and Analysig Request <br /> Joel Kiff YES X NO <br /> Company/Address �. _X—NO � <br /> Kiff Analytical, LLC Sampling Company Log Code Analysis Request o o <br /> Phone No FAX No Global ID <br /> Project Number PO No EDF Deliverable to(Email Address) cn <br /> 0 <br /> 31520 <br /> 0 <br /> Project Name E-mail address 0 <br /> CL = N H <br /> SANCHEZ inbox kiffanal ical com l_ CL �, M <br /> Project Address Sampling Container Preservative Matrix Co 0 <br /> r to `- O <br /> d LL <br /> Sample M �, W ¢ Q li <br /> Designation o E 15 _ �' Q a o °- n- <br /> g Date Time c7 o Q cn x s z a cn W W <br /> Out 2/14/2003 1230 1 1 1 1 x X X x <br /> rXnqui�shed <br /> hed by Date Time Received by Remarks * Please hold this sample until we confirm the <br /> y AQ ALiTxw_As_ o1���3 ��'r preservatives for the 1-liter amber <br /> IV- Date Time Received by <br /> Relinquish b t Time Received by Laboratory / Bill to <br />
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