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ARCHIVED REPORTS XR0000355
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2905
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3500 - Local Oversight Program
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PR0544110
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ARCHIVED REPORTS XR0000355
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Entry Properties
Last modified
2/7/2019 9:45:27 AM
Creation date
2/7/2019 8:19:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000355
RECORD_ID
PR0544110
PE
3528
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
02
SITE_LOCATION
2905 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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WNg
Tags
EHD - Public
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Mx ! " 11IMcm u= t,'Amtu MuvM t, c, 1 L fl I t c <br /> Chevron Focillty Number2-4275- Chevron (Phon+)Contact (Nome) Brett Hunter <br /> faofllly Address. 2905 W. Benjamin Holt Dr. , Stockton (510) 842-8695 <br /> Chevron U.S.A. Inc, r7<D��5—(e( GTEL <br /> P.O. BOX 500� Coneultonl Project f�umhor t,aborvlory :tomo <br /> Consultant Nome Blaiiie '�cch Serviccs, Xnc. 9033855 <br /> SflR Ramon, CA 94583 Laboratory Release NumberFAX (415)842--9591 1kldreea 1b80 Rogers Ave. , San ,lose, CA 95] 12 Somplae Collected by (Name) <br /> Prefect Contact (Name) Tran Thie Collootlon Date <br /> (Phone)408-573-0555 (Fax Humber)408-573--7771 Signature <br /> Molysea To De Performed DO NOT BILL <br /> s <br /> _ FOR TB-LB <br /> _ n <br /> A I v n �L a L° <br /> z Z3 l9 4 , v 4O <br /> L cR3r UUP -4 L o� tir� � o <br /> x o <br /> "� L u .nl� nN u ri <br /> " 7 <br /> C r L t� c. 'r ro ,illi) ' "J l al CI <br /> nemarke <br /> I <br /> 0 <br /> A-UJz <br /> Mtj3 <br /> S � <br /> lytzj 6 <br /> XI <br /> �o <br /> r .3 z <br /> Ralln n are om I ation Dale li me 13 V Roaelyed oy (Slgnalure) Orgonlzallon Dote/Time 13-3O Turn kound Time (Circle Choloe) <br /> 24 We. <br /> a / <br /> 0 <br /> u � <br /> M11n uleh" Dy (Signoture) orgardle n Dals/Ilme r Recefyed Dy (Signature) Organization Dole/Time 48 Nn. <br /> EE— 5 Dc,ra <br /> to Day. <br /> Re11n Ished Dy (Slgnalure) organlxatlon Dal+/limo Ike I ed f or 1.0oralory DI (' oulure) Date/limo 1b Caniraot•d <br />
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