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ARCHIVED REPORTS XR0003484
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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2575
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2900 - Site Mitigation Program
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PR0541989
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ARCHIVED REPORTS XR0003484
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Entry Properties
Last modified
6/21/2019 9:40:57 PM
Creation date
6/21/2019 3:42:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003484
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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2795 Second Street,Suite 30D a Ciente nvironmental <br /> i(tANA <br /> �� Davis,CA 95616 7440 Lincoln Way <br /> Lab 530 297 4804 Garden Grove, CA 92841 <br /> LYTICAL ccc Fax 530 297 4808 714-895-5494 Lab No foto Page _J_ of•_L <br /> Project Contact(Hardcopy or PDF to) Geotracker COELT EDD REPORT? Chain-of-Custody Record Analysis Request <br /> Joel K _X YES NO <br /> Company/Address <br /> Kiff Analytical, LLC Sampling Company Log Code LETS Analysis Request c o <br /> Phone No FAX No Global ID T0607700697 <br /> Protect Number P O No EDF Deliverable to(Email Address) co <br /> co 247-0783-003 43795 inbox kiffanal ical com c`r'v ti a o <br /> CID a Project Name E-mail address: W Ca N N a <br /> 2575 Count Club Boulevard, Stockton inbox klffanai tical com � a N <br /> PrnlectAddress Safin Container Preservative Matrix Q W � <br /> m <br /> a 0 W D LL <br /> SampleQ n m o^ Z w c oCIS <br /> Designation Date Time a a 0 i z v z z 3 a a O <br /> EFF 5/16/05 11 10 3 3 2 4 1 X 31 IX X X X X X <br /> LLL <br /> Reli uish DOW Time Received by Remarks This is a Shell Protect Specified methods <br /> hi 0 05(005 [oda MUST be used, with no substitutions <br /> Relino0hed by Date Time Received by Wetals include Total Cr, Cd, Cu, Pb, Ni,Zn <br /> Relinquished by � Date Time I Receiv�e`dy By La tory to � <br /> W j <br /> v <br /> O <br /> 00 <br />
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