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ARCHIVED REPORTS XR0000380
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 XR0000380
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Entry Properties
Last modified
2/7/2019 9:46:03 AM
Creation date
2/7/2019 8:52:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000380
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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U Yes <br /> Fax cop&f Lab Report and COC to Chevron Cont ❑ No Chain—of—CuStod eeord <br /> L� Chevron Facility Number `q,� Chevron Contact (Name) <br /> Facility Address n +I�.1�11�! � fC'LI ^� C (Phone) <br /> Chevron Producls Co. �, V,Vj 7.d5� C�%r <br /> Canaullant Project Number Laboratory Name <br /> P 0 80X 6004 Conaultanl Name j fewg Laboratory Service Order <br /> San Ramon, CA 94553 Address 10( ' r~ Z Z <br /> FAX (925)842-8370 Laboratory Service Code <br /> Project Contact (Name) Samples Coltecled by (Name) <br /> (Phone)LIP 'i61 Fax Number) '`�f `'!(}C Signature—�y '-/r/ <br /> State Method CA ElOR EIWA ❑ NW Series ElCO C1 UT d R1C Remarks <br /> _ r <br /> Jkr;Zk4l <br /> �c� ii c3+n Q u � � t � 1kT1�jTQMGy <br /> vl!�� O C d 0 Q O <br /> .9 A u x o 5 r. 0 P m g O Prof.V4 ew.. <br /> a-00E a w+ Cc77 q ED <br /> Q t�a V E�H+Qe/ALj <br /> o n` ° aS 'q43 u O v "� s MG7Ni4NCL <br /> ZA aark <br /> e o b ++ � �o i asn �a a .. �o I o QYD � <br /> O B x n � AN N Ar IMN �� �,� oN uin SRU XN N z x <br /> Z ° i q tom °.° �� � a' EL 60 <br /> o` c� 00 °c a <br /> �i Ztn3 (�i •• Loh Sample No <br /> Relinquished By (Signature) Organization Date/Tme Received By (Signature) Organization Dote/rimeked Y/N Turn Around Time (Circle Choice) <br /> 24 His <br /> �A 48 We <br /> Relinquished DY (Signature Organization Date/Time Received By (Signature) Organization Date/Time teed Y/N <br /> 5 Days <br /> Day <br /> Iced Y/N As Contracted <br /> ReGnquahed By (Signature) Orgaruzat�on pate/Time c�ev For L ato g tarq} Date/Time 1 <br />
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