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ARCHIVED REPORTS XR0006112
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 XR0006112
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Entry Properties
Last modified
6/21/2019 1:16:19 PM
Creation date
6/21/2019 10:41:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006112
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 2nd Street,Suite 300 <br /> 1FF Davis,CA 95616 <br /> Lab 530 297 4800 2 ci 4S <br /> A/YALY77CA480 <br /> L LLL Fax 530 297 8 Lab No 1_ Page of <br /> Project Contact(Hardcopy or PDF Ta) California EDF Reports Yes []No Chain-of-Custody Record and Analysis Request <br /> On�1f <br /> Company/Address lv e"� "°� ` a <br /> Sampling company dog cow - Analysis Request �. <br /> Phone No C FAX No Global ID x <br /> . - $ S 1 V4 <br /> Project Number P O No EDF Deliverable To(Email Address) I R a <br /> m <br /> Project Name Samp ig t! la <br /> 18 <br /> Project Address sampling q6talner Preservative Imawx _ <br /> a m N <br /> U. <br /> 5 W m G n N <br /> E O W <br /> U z 0 a 0 a s O o c N <br /> Sample Designation Date Time S m = z x 3 m F- F <br /> 13 <br /> Aw ;-Y-16 + <br /> E I <br /> Reiinqui heRate Time Received by Remarks <br /> 71� <br /> nqulsbed b� Gate Time Received by- <br /> RetlnquMed by dateTime R ed by Labora Bill to <br /> 5 W xjf L <br /> ForrWooc 121001 fig <br /> Dmi"bukm Mde-Lab Ank-Dripktetor <br />
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