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ARCHIVED REPORTS XR0006118
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 XR0006118
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Entry Properties
Last modified
6/21/2019 1:33:18 PM
Creation date
6/21/2019 10:46:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006118
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
Scanner
SJGOV\wng
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EHD - Public
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1a2795 Second Street, Suite 300 Cal Science Environmental <br /> FF0 Davis,CA 95816 7440 Lincoln Way <br /> Lab 530 297 4800 Garden Grove, CA 92841 <br /> Analytical LLC Fax 530 297 4808 714-895.5494 Lab No 1� Page 1 of 1 <br /> Protect Contact(Hardcopy or PDF to) Geotracker COELT EDD REPORTS Chain-of-Custody Record Analysis Request <br /> Troy Tur en YES X NO <br /> Company/Address <br /> Kiff Analytical, LLC Sampling Company Log Code � <br /> Yt � Analysts Request d o <br /> Phone No FAX No Global ID <br /> Protect Number PO No EDF Deliverable to(Email Address) <br /> 46539 <br /> 0 <br /> Prosect Name m No O <br /> E-mail address 0 <br /> Sanchez Pro ertN <br /> tnbox kiffanal tical coin L <br /> Protect Address Sampling Container Preservative Matrix a_ -0 _J <br /> W o <br /> Sample Q LL <br /> W <br /> Date zDesignation r '35: 1 <br /> z c°n ¢ H a <br /> Baker Tank 10/20/05 1430 1 2 1 _ 21 X 11 X X X X <br /> I 1-=:E <br /> I <br /> Relinquished by Date Time Received by Remarks <br /> j f c 10f�a° Please call protect contact if short <br /> Relinquished b tate Time Received by hold and rush time cannot be met <br /> Expires 10/21/05 <br /> Relinquished by Date Time Received h Lobo tory Bill to <br /> Accounts Payable <br /> 0 <br /> co <br />
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