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ARCHIVED REPORTS XR0003374
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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 XR0003374
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Last modified
6/24/2019 3:19:41 PM
Creation date
6/24/2019 1:38:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003374
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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WEST Laboratory ���_� <br /> I Laboratory Name � <br /> Subcontracted Tests Form Mail Results and Invoices To 1046 Olive Drive, Suite 2, Davis, CA 95616 <br /> Project Name SUStockton #14117 Fax Results To 530-753-6091 <br /> Project Number <br /> Protect Manager Troy Turpen Call 530-757-0920 with questions <br /> Number Name Mx Date Sampled Tests Use this number as a Purchase Order No 18759 <br /> 18759-01 TW-W WA 07/17/98 LG�F-Pb, 3�S <br /> Location No of Containers ' ccu, <br /> 18759-08 TW-2-14 SO 07/17/98 Pb, Z!�/ 3_-25.-z <br /> Location � <br /> No of Containers L <br /> 18759-09 TW-1-14 5 SO 07/17/98 Pb, f>j--7 <br /> Location <br /> No of Containers 70 L <br /> Remarks <br />' Bella- wished by Received by Date Time <br /> Due Date/Time <br /> C(4 ov�w� �tifi `�-(�-�l� f f5- <br /> Subcontract Lab Reference # <br /> Fax this form to 530-753-6091 when reference <br /> number has been assigned to samples and wntten <br /> in space above <br /> ? a lease fax results prior to mailing <br />
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