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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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• ! • <br /> 2795 2nd Street,Suite 300 <br /> .�� Davis,CA 95616 <br /> Lab 530 297 4800 <br /> ANALYTICAL LtC Fax 530 297 4808 Lab No Page 2 of 1-.21 <br /> Protect Contact(Hardcopy or PDF To) California EDF Report? Yes ❑No <br /> Chain-of-Custody Record and Analysis Request <br /> eOikp �� ss I�eommarlcied6utnol ltissel on <br /> J ampling Company Log Code, Analysis Request a <br /> Phone No FAX No Global ID m x <br /> o m n m 3 <br /> Project Number P O No EDF Deliverable To(Email Address) CO S m Q T <br /> m CO n w <br /> r O VJ Y C <br /> Project Name Sample lgna urs is a a ; m <br /> CO <br /> w �^ m V O <br /> Project Add re s cal ° n - <br /> �4� ampling Contains Preservauve Matrix o C y 14 a �, <br /> U� �/CJCF r I O fY i; o o n o d1 epi [� <br /> / £ W O Z F ��x5 <br /> Sample Desi Hatton Data Tine v uJ _ °z to CO o 0 0 m a m N <br /> ti W > <br /> ON3 1 N31 �12 <br /> HILL <br /> Relinquished by Date Time Receiv Remarks <br /> i <br /> Relrrlquished b q Time Received by <br /> ReilnquFshed by JOI60 A— Re ved by La oratory Bill to <br /> Distnbulmn Whrre-Lab Prnk Ongmator Formslcoc 121001 Iha <br />
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