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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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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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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 /> ANALYTICAL ccc Fax: 530.297.4808 714_895.5494 Lab No. Page of 1- <br /> Project Contact(Hardcopy or PDF to): Geotracker COELT EDD REPORT? Chain-of-Custody Record and Analysis Request <br /> Joel Kiff _YES _X_NO <br /> Company/Address: 41 <br /> a o <br /> Kiff Analytical, LLC Sampling Company Log Code: Analysis Request <br /> Phone No.: FAX No.: Global ID: <br /> Project Number: P.O.No.: EDF Deliverable to(Email Address): 1 <br /> 43517 0 0 <br /> Project Name: E-mail address: r N m <br /> Sanchez Pro ert inbox 'Iffanal tical.com 00 <br /> v7 � <br /> Project Address: T <br /> Sampling Container Preservative Matrix <br /> r'- <br /> Sample W ° a <br /> P o m w o ` ¢ o a 2 tY <br /> Designation Date Time n dF cn �- _ _ � z z rn ¢ a I— <br /> Effluent Carbon#44129105 11:21 1 2 2 X 1 X X X <br /> X <br /> Relinq fished y: Date Time Received by: Remarks: Short Hold OK by Steve Nowak <br /> t3-(2,t� lgi0r7 04/29/05 <br /> Rellnquis d by: Date Time Received by: <br /> L11 <br /> Date Time Received b Laboratory,! Bil!to: (M <br /> Relinquished by: y ry; �L-- � <br /> V <br /> O <br /> Yw, <br /> 00 <br />
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