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ARCHIVED REPORTS XR0006111
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 XR0006111
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Entry Properties
Last modified
6/21/2019 1:33:01 PM
Creation date
6/21/2019 10:40:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006111
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 /> Davis,CA 95616 7440 Lincoln Way <br /> Lab 530 297 4800 Garden Grove, CA 92841 <br /> ANAL,YT/CAL ccc Fax 530 297 4808 714-895-5494-895_5494 Lab No � Page -L of _L <br /> Project Contact(Hardcopy or POO to) Geotracker COELT EDD REPORT? Chain-of-Custody Record'a n clysis Request <br /> Joel iff YES X NO <br /> CampanylAddress — - '�' <br /> Kiff Analytical, LLC Sampling Company Log Code Analysis Request o <br /> CI <br /> Phone No FAX No Global ID <br /> Project Number PO No EDF Deliverable to(Small Address) <br /> 40847 O '' <br /> o 04 c <br /> Protect Name E-mail address c7 o <br /> Sanchez Property Inbox kiffanal ical cam <br /> Project Address la <br /> SainPiin9Container Preservative Matrix E <br /> a 0 <br /> 00 <br /> Sample o x o U. <br /> n JJE - <br /> JQ Z <br /> De5t9rlatlOrl Date Time r; a° x = r z w ¢ a W <br /> TANK 11131041500 1 1 1 1 1 X X I I X X X <br /> Relinquished b �/ ate -ime Received by Remarks <br /> XT `InaI ca a! IIOTo .(too <br /> Relinquished Date Time Received by- <br /> Relinquished <br /> yRelinquished by Date Time Receiv by boratory Bill to <br />
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