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ARCHIVED REPORTS XR0006117
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 XR0006117
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Entry Properties
Last modified
6/21/2019 1:21:41 PM
Creation date
6/21/2019 10:45:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006117
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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r <br /> 1 <br /> 2795 Second Street,Suite 300 al Science nvlfonmental _7 <br /> ®� Davis,CA 95616 7440 Lincoln Way <br /> Lab: 530.297.4800 Garden Grove, CA 92841 <br /> ANALYTICAL ccc Pax: 530.297.4808 714_gg8.8494 dab Na. Pae <br /> Project Contact(Hardcopy or PDF toj; 9 —L of:�:TGeotracker COELT EDD REPORT? Chain-of-Custody Record and Analysis Request <br /> oe iff YES X NO <br /> Company/Address; <br /> Kiff Analytical, LIC pling Company Log Code-, <br /> Analysis Request: n Q <br /> Phone No.: FAX No.: Global ID; <br /> Project Number: P.O, N).: EDF Deliverable to(Email Address): <br /> >+ <br /> Sanchez-Sewer 43080 N Q c <br /> Project Name; E-mail address: Z 0 Q <br /> Sanchez-Sewer-Start N <br /> inboxC0kiffanal ical.com <br /> Project Address: _ Q <br /> Sampling Cantalner Preservative matr€X °D V -J <br /> It to CL <br /> Sample m o _ M 0 �° <br /> Designation o o � 2 n ° W o a =' Q as � <br /> g Date Time > Nk z z U z � � 0 a F- W u.l a <br /> Tank 3/3110511415 31 2 3 X X X X X X X X <br /> X <br /> Rol' ished by: Date Time Received by:Y' Remarks: <br /> V � l�` ! <br /> Refinqufshed by: Date Ttm Received by: <br /> O <br /> Relinquished by: [)ata Tfm a aboratory: tty <br /> Bill to: rp <br /> (D <br /> co <br />
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