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ARCHIVED REPORTS XR0012758
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CAPITOL
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6421
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2900 - Site Mitigation Program
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PR0522496
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ARCHIVED REPORTS XR0012758
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Entry Properties
Last modified
2/15/2019 4:45:15 PM
Creation date
2/15/2019 2:49:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012758
RECORD_ID
PR0522496
PE
2957
FACILITY_ID
FA0015317
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95245
APN
05532024
CURRENT_STATUS
02
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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f. <br /> ..41 <br /> (S-� 1� U Chain-of-Custody k6cord _ <br /> Q 30 Z Chevron Contact Hama <br /> Chevron Facility No. _ �. T 3-- -- <br /> Facility Address (2 t11 t j�e d 1..4 f ���a tPhone)— 1f0-_ _fY����G S"Y t Y ed <br /> 7ChevronU.S.A. Consultant Project Number � � 4-t?J Laboralory Nama r �V <br /> San 1tirndn,CA 94583 CSIMIAENVIt�.ONMENTALSERVICES e Number Name Laboralory Rgloa5umber —S-L20010 K,01,Nu <br /> P.O. Box 2545, Martinez, CA 94553 r "N <br /> FAX(415}$42-9 591 Address _ ik�t <br /> 7 <br /> Samples Collected by(Namo) _rin1 . }, �CCWc�_�-__-__._,___— <br /> Project Contact{Name) <br /> (Phone) (41-S) <br /> (415) 370.1280 Cntler.!ton D .�ate _....._- _ Iii/S.r_ <br /> (FAX Number) (4 15) 370-7959 <br /> Ii ANALYSIS TO BE PERFORMED <br /> E u � � � I ♦ I � R.[�k�x�'E <br /> �� moo❑ _ _ _ �",� � <br /> Mtn- K1 i <br /> HL `' <br /> X <br /> .r. <br /> . . h t;l <br /> is 0 posture) Otlranlzatlen Dal//�yykna deceived By(Shnature) Orpanitatlon Dalel lme I..A—;d o..,.ICwCW On-I iif <br /> 24 hours <br /> noun R Ilnqula •9y(Ston a) DrpoN ., <br /> zatlon .r kna �-I rteceMad By(Sglrl <br /> rulute) G4panitatlon Dalame 48 f, . <br /> 6 days ^ t. <br /> itaWrquU'*d By(Slpnalure) jOrganizeI Datalrkna RerAlyed lot, ofar by lure} 01161rlme 10 days <br /> . As Centractsd <br /> ;_ r�.; <br />
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