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ARCHIVED REPORTS XR0003363
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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2725
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3500 - Local Oversight Program
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PR0544596
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ARCHIVED REPORTS XR0003363
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Entry Properties
Last modified
6/24/2019 2:21:02 PM
Creation date
6/24/2019 1:28:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003363
RECORD_ID
PR0544596
PE
3528
FACILITY_ID
FA0002064
FACILITY_NAME
7-ELEVEN INC. STORE #14117
STREET_NUMBER
2725
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2725 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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II 2795 Second Street,Sude 300 ClenCt' Environmental <br /> Davis,CA 95616 7440 Lincoln Way 6 .3 -O <br /> `F Lab 530 297 4800 Garden Grove, CA 92841 <br /> ANALYTICAL LLC Fax 530.297 4808 714-895-5494 Lab No Page _1_ of _L <br /> Protect Contact(Hardcopy or PDF to) Geotracker COELT EDD REPORT? Chain-0f-Custody Record and Analysis Request <br /> ' Joel X YES —NO � <br /> Company/Address <br /> Klff Analytical, LLC Sampling Company Log Code SIRC Analysis Request <br /> Phone Na FAX No Global 1D T0607700458 N <br /> Project Number PO No EDF Deliverable to(Email Address) ti <br /> 77EL 14117 03 34511 inbox0*r1fanalytical coni QQ„ N O <br /> Project Name E-mall address. N <br /> 7-Eleven Store#14117 Inbox kif#ana Ical Cam Q 0 <br /> Project Address Sampling Container Preservative Matnx J ` <br /> M 0 <br /> O rr < Q <br /> Sample oz 0 _JO <br /> Designation Data Time 5 a in- z � z z 3 � I F— <br /> D1-ARCD 8/14/200311510 1 X X X X X <br /> elinqutshed by Dale Time Received by Remarks <br /> ,' J3a � <br /> rRefinquishedyDab3 Time Received by <br /> ez <br /> ngwshedy r Q TIi t eceived by bOrd BIII to <br /> j 6 <br /> !Z),3 <br />
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