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ARCHIVED REPORTS XR0003530
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 XR0003530
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Entry Properties
Last modified
6/21/2019 8:32:01 PM
Creation date
6/21/2019 3:53:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003530
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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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD pale. <br /> @Ad <br /> RETAIL ENVIRONMENTAL. ENGINEERING - WEST Serial No: lolo�-�( Pa a[Sl dress: <br /> 9 i <br /> 2575 Country Club Blvd. , Stockton, CA Analysls Required LAB: OV5T' <br /> #. 204-7524--3505 CHICK ONE(t)sox ONLY CUM TURN AROUND 111.11 <br /> F� <br /> ll Engineer: Phone No : 510 a W monvadno ❑ N(t <br /> 24 noun ❑ <br /> Daniel T Kirk Fa 7J. 6166 sRainrelDQdbn µ"1 <br /> �1 AoLn ❑ <br /> Con x�{{11qnl N4mQg &,,,��ddjess. �V <br /> lame 'Lech Mery c1s:, Inc. (7 Sam Ckes"Ifr/Dupo,a! ❑ 4441 <br /> 995 limothy Dr. , San +o li days p(HoanoO <br /> es <br /> Jose CA 95133 Walso <br /> Consullanl Conlacl: PW�{n—� JAS: 408 = o L c,o«r,,/alwpo,al ❑ Aw �ti., p <br /> Fran Thie Fax N o m iO °n 0) 1714 o i u R.�a,�Y, ❑ Ntz <br /> Comments: _8 3 o a LnNOK Holey tab as <br /> .. W <br /> wales Ramof Sy* soon a,►os,R�1.at <br /> O O v so O l Al C, "I <br /> 2,9/14 his lAl <br /> 4 <br /> _ r <br /> Sampled by: %n M N R W z a1n., ❑ <br /> 4 Q C4 n. o o UST AGENCY: <br /> Pr(nled Name; �>lw Bl � a W o a B o <br /> 4 a+ o a ° MA7I:RIAL SAMPLE <br /> Sample ID Dale Sludge 5oll Walat 1111 <br /> No of x�,. r o E o A 0 Ix o pESCRIPTiON CONDITION/ <br /> conk �. C4 � "+ u Q a U COMMENTS <br /> it x 3 K <br /> Mw-4 ✓ K 3 5, <br /> 11 <br /> _Eg ✓ r x a _ k CUSTODY E EALED <br /> l u K X <br /> Dati Time Inilials__„�� <br /> SE <br /> TS to X z X Yes u- Initl�lS <br /> i <br /> ngW$h B {signature). Ptinled N me. Dole Ra a s! nalur Pt ed Name, Dela // <br /> .� e <br /> Reil sha By(sl alute). Pti lad Noma Dolo d i� R C si ur ) Print Nam a <br /> cc/ �iYJ.y-�c Tlmo / T1ma ' <br /> Rollr§wished By(signahua). Prinl Noma Data. c a p alum) Ptinlad Noma. polo. <br /> Mina <br /> fSABORAYORY MUST PROVIQE A CDPY 4f 111 <br />
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