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ARCHIVED REPORTS XR0003384
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 XR0003384
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Last modified
6/24/2019 2:44:30 PM
Creation date
6/24/2019 1:43:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003384
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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Acculabs Inc. Lab Number 1 �O <br /> i? f <br /> 046 Olive Drive Davis CA 95616 530-757-0920 Fax 753-6091 <br /> ]7755 Suttle St Durango CO 81301 970-247-4220 Fax 247-4227 Report <br /> [ ]4663 Table Mountain Dr Golden CO 80403 303-277-9514 Fax 277-9512 Due Date <br /> [ ]992 Spice Islands Dr Sparks NV 89431 775-355-0202 Fax 355-0817 <br /> ' Client Fax Results Y N Page of <br /> PuB>f,1G 1� mvtt Ola <br /> Address r <br /> ' City, State&Zip c Q System Name <br /> ContactPWS No Report to State/EPA Y N <br /> Pho e Z ole tIN Name5jMk-"&jj0 POE No DWR No <br /> Faml- Pmjeet' Name {�� a lvi.-cJ, Collection Point P O Number Project Number�� ' `w�r� f ity County <br /> SAMPLE TYPE CODES x �' Analyses <br /> A <br /> DW=drinking water TB=travel blank Compliance Requeste <br /> =waste water SD=solid Monitoring <br /> W= onilonng well SO=soil Y N <br /> ' HW=hazardous waste SL=sludge ' <br /> TURNAROUND TIME REQUESTED <br /> Standard Lab Manager <br /> RUSH Approval S <br /> Special <br /> CLIENT'S SAMPLE ID/LOCATION Date Time SPI No <br /> Oi <br /> W_ 2L S Gz <br /> ' W _ <br /> Lv T v f U+fi <br /> MUU - ` k3;Mo V 3 05 <br /> 1 W -� W W 3 �c <br /> _1I q 3 U <br /> ' InstructionslComments/Special Requirements <br /> ' SAMPLE RECEIPT Date Time Sa pies Relinquished By r§qmp1q,0 Rec ived By <br /> Received Cold Y N :W1 <br /> 11(& <br /> Custody Seats Y N <br /> Seals Intact Y N <br /> r <br /> No of Containers <br /> Acculabs,Inc's Standard Terms and Conditions apply unless written agreements specify otherwise Payment terms are Net 30 <br /> ' To the maximum extent permitted by law,the Client agrees to limit the liability of Acculabs, Inc for the Client's damages to the total Compensation <br /> received unless other arrangements are made in writing This limitation shall apply regardless of the cause of action or legal theory pled or asserted <br /> 301 2E <br />
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