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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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2795 Second Street,Suite 300 Cal Science Environmental <br /> ,�fCALLLc <br /> Davis, CA 95616 7440 Lincoln Way <br /> Lab 530 297 4800 Garden Grove, CA 92841 <br /> ANAFax 530 297 4808 <br /> Protect Contact(Hardcopy or PDF to) 714-$95-5494 Lab No gage 1 of 1 <br /> Joel Kill <br /> Geotracker COELT EDD REPORT? Chain-of-Custody Record and Analysis Request <br /> YES X NO <br /> CompanylAddress — – — <br /> jl <br /> Kiff Analytical, LLC Sampling Company Log Code Analysts Request <br /> Phone NoQ o <br /> FAX No Global ID <br /> Protect Number PO No EDF Deliverable to(Email Address) <br /> 31996 , <br /> o � <br /> Protect Name E-mail addressCINI O <br /> SANCHEZ = <br /> Protect Address F_ T <br /> Samphng Container Preservative Matrix <br /> 00 <br /> Sample f0 1i <br /> co w ' a <br /> DesignationDate Time a = z c� 0 w <br /> OUT 317103 1300 1 X X X X X <br /> rRelinuished <br /> d by ate Time Received by _ Remarks <br /> -�°� a� �d y Date Time Received by <br /> by at Time Receive_ d by Laboratory <br />
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