My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0000652
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
B
>
BENJAMIN HOLT
>
3128
>
3500 - Local Oversight Program
>
PR0544112
>
ARCHIVED REPORTS XR0000652
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/7/2019 5:25:12 PM
Creation date
2/7/2019 3:35:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000652
RECORD_ID
PR0544112
PE
3528
FACILITY_ID
FA0005145
FACILITY_NAME
EXXON COMPANY USA
STREET_NUMBER
3128
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09523002
CURRENT_STATUS
02
SITE_LOCATION
3128 W BENJAMIN HOLT DR
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
258
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
EXXON COMPANY, U.S.A. <br /> P O Box 4415 Houston TX 77210-4415 <br /> 1NCl1flPpEiATEO ® CHAIN OF CUSTODY <br /> HE ASSHFlANLE Of QUALITY // <br /> tS� Consultant Name /'fe-S/rn g1jaI .3v� <br /> rel <br /> Novato, CA Address l+*. D 5'jj4 orP.I.nC filet��._ M��I V�`'�r 9 <br /> 11 Digital Drive,94949 Project Contact .n To c o hS Pro ect# 6/ L/-0o(1' -03 <br /> (415) 883-6100 Phone# Y f S} 3 Sal y S T Fax# Of <br /> ❑ Irvine, CA Consultant Work Release# <br /> Alton Business Park (510) b- 9 7 7 0 <br /> 30 Hughes St , Suite 206, 92718 Exxon Contact r Phone# <br /> (714) 380-9559 Site RAS# `7 — %z O <br /> Site Locabon 3 /_7-iff W_ fes.., }- �i,_Si o,"^ C.�} <br /> Laboratory Work Release# <br /> Sampled by(please print) SOIL WATER <br /> Sampler Signature Date Sampled w w <br /> r 9Z- a 3tt 6565iAiA to <br /> ollection(_/Sample 4Y �J�t <br /> � b <br /> N Remarks <br /> c 3r ai 3a a <br /> Description Date/rime Matrix Prsv Cont w w o`o ,w w o`aF-W li2m <br /> Tj J/11112 -a S - -3 s rf-e <br /> r <br /> l' S 2-1 <br /> - qSTs* -S 7. X I <br /> f <br /> t8� S ,1 a l A <br /> k5 ,q <br /> Ls ISo3 s oId <br /> ►mss ' S 5 �o1d <br /> �ooer o Relinquished by/Affdlation ptedby/Affiliation Date Time <br /> —TICooler Seal <br /> Intact <br /> Yes <br /> ❑ No Z <br /> Turnaround Time <br /> (circle choice) <br /> 24 hr <br /> 48 hr <br /> 72 hr <br /> 96 hr <br /> wo ay <br /> standar <br />' �ipment Method Additional COn'1tTlentS <br /> ® lnC.�4f+.,Ocxi1 L6+n 1 <br /> Shipment Date 1 P� <br /> Distribution White-Original Yellow-Exxon Pink-Lab Goldenrod-Consultant Field Staff <br />
The URL can be used to link to this page
Your browser does not support the video tag.