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ARCHIVED REPORTS XR0000361
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 XR0000361
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Entry Properties
Last modified
2/7/2019 9:46:47 AM
Creation date
2/7/2019 8:38:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000361
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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.,r _ , — L-J ,... Lill.11! ! �U ! ''vUJIV �1\GI,VI U <br /> Chevron Foclllly Number —4275 Chevron Contact (Name) Brett Hunter <br /> Foolllty Address 2905 W. Benjamin Halt Dr. , Stockton (Phone) (510) 842--8695 <br /> Chevron U.S.A. Inc. /7G,(' / cam- F/ GTUL <br /> P.O. BOX JQO'f Consultant Praloci Number Laboratory Homo <br /> Blaine Tech Services, Inc. 9033855 <br /> Consultant Name Laboratory Release Number <br /> San Ramon, CA 94583 1680 RAve. , San Jose, CA 951.12 <br /> FAX (415)842-9591 Addra+e Rogers ,l • --- — Samples Collected by (Noma) �'�' �i?�- <br /> Project Contact (Name) Tran Thi.e <c /t' 97 <br /> ColieoUon Data <br /> (Fhone)408--573-0555 (Fox Eiumber)408-573-7771 Signature " <br /> Moly+es To Be Performed DO NOT BILI. <br /> Ile <br /> ° FOR TB—LB <br /> p <br /> .a <br /> e p � N� 17V� Q L NO 4h Vrc r� �� �•F �i� <br /> `(L Vpl ° N p Ov�, }SVyL�,p en CJ N Z' �j[,7 +� <br /> fn XN C u , uo �~ ,•,til "�-' 7v �w .�.+ °'� Remarks <br /> a <br /> a Reilnqulshed Dy (Signa ore) Orgonlxallon Date/lims 11 30 Reoelved fly (Signoturs) organI tlon Dote/limo !I 'Turn Mound Time (Clrcie Choloe) <br /> `` R+llnqulshed By (Slgnotur Organl:oU n Date/Time Received lly (signature) Organization patefiime <br /> as Kra. <br /> f n vjep"Qt �I -i G rZ�rt 70 Days ye <br /> t7 Rellnqulahed Dy (Sionoture) orgonlxation Dole/nme 14ecleved I or Laboratory Dy ('Signature) Date/Time /� Controoted <br />
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