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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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SJGOV\wng
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EHD - Public
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2795 Second Street, Suite 300 Cal Science Environmental <br /> '/(A <br /> � Davis, CA 95616 7440 Lincoln Way <br /> Lab 530 297 4800 Garden Grove, CA 92841 <br /> ANALYTICALccc Fax 530 297 4808 714-895-5494 Lab No 1)3-02-1-104- <br /> �^��'—('1O Pe a <br /> Page _J_ of _1_Protect Contact(Hardcopy or PDF to) Geotracker COELT EDD REPORTS Chain-of-Custody Record and Analysis Request <br /> Company/Address Joe( Kiff YES _X—NO <br /> m <br /> Sampling p y g *� <br /> i Analytical, LLC p g Com an Lo Code Analysis Request o o' <br /> Phone No FAX No Global ID <br /> Project Number PO No EDF Deliverable to(Email Address) CO <br /> 31609 0 '^ <br /> N = <br /> Protect Name E-mail address O0 <br /> SANCHEZ lnbox kiffanal tical com N M <br /> Project Address .0 <br /> Sampling Container Preservative Matrix a M <br /> W W :3 ►- <br /> SampleU. <br /> T a o z ao LO <br /> o ILLDesignation Date Time 4 2 z z U i T- <br /> OUT 2!2012003 12 25 1 1 X X X X X X X <br /> Relinquished by Date Time Received by Remarks <br /> ozaa n 1 <br /> Relinquished by Date Time Received by <br /> L92L in <br /> Relinquished by at Time R y Bili to <br /> 63 <br />
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