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ARCHIVED REPORTS XR0003748
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 XR0003748
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Entry Properties
Last modified
6/21/2019 9:40:51 PM
Creation date
6/21/2019 4:41:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003748
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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SLL OIL COMPANY SHAIN OF CUSTODY RECORD palm <br /> RE IL ENVIRONMENTAL. ENGINEERING - WEST Sorial No. /(-,--51 1 Page ) of <br /> Silo Address. % <br /> 2575 Country Club Blvd , Stockton, CA Analysis Required LAB: 5&-00Di <br /> WIC#: <br /> 204-7524-3505 <br /> CNECK ONE(1)IOx ONLY CT/DT TURN AROUND TIME <br /> � <br /> Shell <br /> G W Monlodnp ❑ 411 f 24 hour <br /> I:nglneer: Phone No.: 510 � ❑ <br /> ' Alex Perez Fa�(7k-6168 SI.Inr.rllydbn ❑ 44ai 48 hours [] <br /> Con ullgnl Npmg & dd;ess• 675-6172 0 <br /> 1 '1' h SA Inc. 9 Soli Ckwlht/DMpowl ❑ L4�2 <br /> acne ec ervices, 16 days ❑(Normop <br /> to <br /> 1680 Rogers Ave San lose CA 95112 water <br /> Consullanl Conlacl. "�' `k"�''/D''p°r°f ❑ ahs+ B S <br /> Phone No,; 408- <br /> 573-0555 0/ N SoR/AkAomorSys <br /> Fran Thie d m co as 01M ❑ 44SI <br /> Fc)x N 573-7771 din Holt NofAyLob or <br /> 0 a <br /> Commonls. WM.rft.m oriln Loon no Rorrlbl.of —` <br /> �7 .0 N co O A M ❑ 4153 21/41 his TAI - { <br /> 0 ° 0 x b J I6 5 3 <br /> 2 z <br /> Sampled by: , a c N Oln.r <br /> n, n o ❑ <br /> p c - a N o UST AGENCY: <br /> Printed Name: �'O(Kr SA NP[=�S 0. n. W o c "o <br /> SAMPLE <br /> NO of x X E a MATERIAL CONDITION/ <br /> Sample ID Dalo Sludge sols wafer Air conk � j � v Q V U DESCRIPTION COMMENTS <br /> 3 <br /> r Dw� Tq T <br /> 970?5'20 <br /> Re= Signature) Printed Name Dale 74(,,-V-s R ed(slgnatu ) Pflpl@d Nanw- Dale 7-76-9;t <br /> �T Time a3 • /5-03 <br /> rR �*d 8 Signature . Print Name. Dela d Rocehred(slgnaluro). Prinlod Name. Dole: <br /> LAld,= Azvv Tlmo 3s Time <br /> allnqulr<h By(slgnalure) Prinled Name Dnle Recolvad(slgnalulo) Prinled Name Dale-7—((4-E.l <br /> limoS ITIme.1-7 <br /> THE LAWRAD2111 MUST PR!2VIQE A!;QPY!2F 11113-CHAIN OF-CL1�1QUY WITH INVOICE AND RESULIS <br /> !.N p D2,21d <br />
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