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ARCHIVED REPORTS XR0000357
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 XR0000357
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Entry Properties
Last modified
2/7/2019 10:00:51 AM
Creation date
2/7/2019 8:24:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000357
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
Scanner
WNg
Tags
EHD - Public
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" �•, vv, ��u�� `" Ul lull I U I —Uub l U ~'i\C{,Uf u <br /> Chevron Faclilly Number —4275 Chevron Conloct (Homo) Brett Hunter <br /> Fooliity Addreee 2905= W. Benjamin holt. Dr. , Lac.Eceoii (['hone) (510) 842-8695 <br /> Chevron U.S.A. Inc. <br /> P.O. OOX 5004 Consultant Project Number C1 d �� Laboratory Name GTEL <br /> Consultant Nome Blaine Tecli Services, Inc. <br /> Salt Raman, CA 94583 Laboratory Relsoe• Number 9033855 <br /> FAX (415)842-9591 Address 1680 Ro ers Ave. , San .Tose, CA 9511.2 Samples Collected by (Name) <br /> Project Contact (Name) Fran This C-1 - �— C� <br /> Collsallon Dale <br /> (phone)408-573-0555 (Fax Numbor)408-573-7771 Signature <br /> Maly`ens To Do norm ed <br /> DO NOT BILL <br /> iC <br /> a ti s <br /> FOR TB—LB <br /> s , t �; n Q <br /> zn R Lr o <br /> Z <br /> a � UUP Q L F b "n vU <br /> eF� R p 6 r <br /> L .re <br /> o I"rr Y a a.'1 [°O Inr� Jnr i yam�,N e�Cyy <br /> Remarks <br /> LV r 13Z 1fGl V _ <br /> 07LV-3 "X <br /> r-17(IV 3 <br /> fi?uoil <br /> G w <br /> o Regnqulsh Dy (Signature) Orgonlzotlon Dote/Ilme/.I. Reoelved By (Signature) Organlzo ton Date/qme� 'a Tum Mound Time (Circle Choloe) <br /> i5 7,5 Y'""L <br /> fir' C�`�`L <br /> u <br /> Reltnqulsh (Signature) Orgonti/�C24 lir.. <br /> l:a on Dote/nme Recelvod Dy (Signature) Organlzollan Date/Time 46 Hrs. <br /> 10 Llys <br /> 1--crt <br /> 5 Days <br /> v <br /> Relinquished Dy (Signature) orgonhwtlon Dote/Tlmo Recleved ror Laboratory D/ (Signature) Dotell1mo <br /> AMContrnoted <br />
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