My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0003750
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
C
>
COUNTRY CLUB
>
2575
>
2900 - Site Mitigation Program
>
PR0541989
>
ARCHIVED REPORTS XR0003750
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/21/2019 9:35:46 PM
Creation date
6/21/2019 4:42:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003750
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
Scanner
SJGOV\wng
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
39
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Adak <br /> ELL OIL COMPANY CHAIN OF CUSTODY RECORD Dalo: <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Sorial No. Pago sof Z <br /> Silo Address- <br /> 2575 <br /> 2575 CountryClub Blvd. , Stockton, CA Analysis Required LAB: <br /> IIC#: 204-7524-3505 crl[cx OHf(1)ia?ro11LY CT/DT Tu Rn AQouNo nM[ <br /> Sholl Enginoor. Phone No.. 510 G W Mon1lod+p ❑ "ll 24hO1°" ❑ <br /> f 7�-6168 S!r•(ovuliodbn ❑ 444! 4A hoin <br /> R. Jeff Granberry z"a ❑ <br /> ConSultgnl Npmp & dd(ess: saRClauYy/�Lpo�o1 ❑ 4442 lilal.ne '1'ecli services. Inc. T:dare ❑trr•�„wo <br /> 1680 Rogers Ave. San Jose CA 95112 w Wolofcloseiry/pLposn1 ❑ 4443 olh.t <br /> Consullant Contact. Phone No.; 408" El <br /> Iran Thie 573-0555 �' SoU1AlrRom orSys <br /> 1FaxN 573-7771 D m o a M ❑ 4434 Non No1Ry tab of <br /> D a Wolof Rom.or Sys soon ar PossIbl•al <br /> Comm©nts. D w a3 o A M ❑ 4453 24/41,his IAT <br /> �° o o z <br /> U n Z Mot ❑ <br /> Sampled by. ',16- `.2 �� 20 o o c N � r , <br /> o o ca a c UST AGENCY: <br /> W <br /> Q <br /> N <br /> u Prinlod Name- a) - <br /> Q <br /> o <br /> n °L <br /> SAMPLE <br /> L <br /> x E CONDITION/No of c , o nSample ID Dalo Sludge Soil Walar Ali o U DESCRIPTION <br /> conk > U <br /> COMMENTS <br /> � 3lli3 <br /> Rollnquishad (signs u , Ninled Name.. Dale q/3A7 Racaivod (s)gnoluro) Prinlod Name. Dal- q 4 <br /> �-�-� Timo_La 2b _ C u M 'ZJIM9. Lal U <br /> Rellnquishod By(slgnalura). Prinled Name. Dalo 'A l /47 RecoNod (slgna 1 ). P(Inled Name. Data, <br /> ',S S )lLZMA!IZ _ -- Tlmo LI' l3 Time <br /> Rallnqulih- (slgnoluro) Prinlod Noma Dolts RocoNod (signoluro) Ptinlad Name Dale <br /> PMO TIM* <br /> THE A90RATC�RY MUST PROYI lL UAlN-OF CU510DY WIT)I INV 410E Atj <br /> ►w1 d M wI <br />
The URL can be used to link to this page
Your browser does not support the video tag.