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ARCHIVED REPORTS XR0009004
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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V
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VICTOR
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880
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2900 - Site Mitigation Program
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PR0503634
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ARCHIVED REPORTS XR0009004
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Entry Properties
Last modified
5/7/2019 4:58:52 PM
Creation date
5/7/2019 4:41:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009004
RECORD_ID
PR0503634
PE
2950
FACILITY_ID
FA0005914
FACILITY_NAME
VICTOR ROAD SHELL
STREET_NUMBER
880
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04905032
CURRENT_STATUS
02
SITE_LOCATION
880 VICTOR RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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S LL OIL COMPANY IA1N C SIUUY R C�4RD Dale: 5-1s -9g <br /> `�"U g �� -7 <br /> S � Serial No� �` iO1� Page i <br /> RET I1 ENVIRONMENTAL. ENGINEERING WEST <br /> Slle Address: Analysis Required LAB: SeQuoiA <br /> Fjo V`L r Road Loa 1 <br /> 1�IC CHECK ONE(1)bOx ONLY CT/DT TURII AROUlJD TIME <br /> 2-C4—4A-1 — 09 6 r j I G W MonModng ❑ u61 24 hoult ❑ <br /> Shell Engineer: Phone No : g I <br /> S <br /> ("SS 645-9306 _ IShe lnvasElpcAbn I� 1441 4e hours <br /> Karen Pe na. Fax iI:tss� rots- r`^ <br /> ConsullonlN e,&Addie s• sail clas,lly/D,sposul C] 1"2 <br /> Cumbria l T-eGlnr�la�y, 1�G. Q f wolos 15dnys r(,lormor} <br /> •0 Z 9 5onom6: 547 + Classify/Disposal ❑ 4413 Oihd ❑ <br /> Consullanl Conlacl. Phone No : Soil/Illi Pont or Sys <br /> (?07�936-4859 too, ca Cd 1' I D a M E] 44 52 <br /> U 6y II NO1E Holiry lob as <br /> AtLbre Coo Fax ��:(ooz)93s-{.rMi a a wMar Ram or Syr roan as Possible o1 <br /> Commenls N no r o a IA ❑ 24145hie TAT <br /> C] w <br /> v 1� �- ❑ <br /> (� Dilor <br /> P N t- Qrl Z <br /> Sam led b 0 0 o ° a c UST 'AGENCY: S�C_IPR <br /> Y• a co co vT Q o to c m <br /> o <br /> rA co d O � � w •_ <br /> � o ma <br /> SAMPLE <br /> Prinled Name. ;x = 0 -n MATERIAL <br /> ca <br /> 7 CONDITION/ <br /> No of x : <br /> Dale soil Wale, Air I-- a O aUSamnle ID canis > r U U COMMENDS <br /> 5g- I_ 5 0 " �4 ►Z 55 — — — II i ------ �°[�1��U OLD <br /> 12 0 — — JU h; U5fi Y 3 • 42 <br /> SS - 1 -leo — E <br /> S C3- 1 IT 40 _ _ I� -0� �4 D LTA <br /> S f3- 1 - 20 5 12-f5 til <br /> S13- 1 - Zs o' 1255 <br /> S6- l - 30 0' 1 °5 _ _ _ �'i — -0� D L-D <br /> se-I - 35 0' r0 <br /> i <br /> ` <br /> iL fl <br /> ✓� <br /> Re11rT ulsi�ed By(sig re): Prinled Name Daly r �, Re eived (sl nature), Prl ed Name- Qale, <br /> 1t re Co 44 lime rb ,�1111.(� I _ " lima-- ` <br /> WVA� US <br /> 13y(sl�nalure)� Pllinlod Name- Dale (1b ace ved (signalur Pllnled Dale' <br /> \ , Time./(��tiU lime <br /> By(slgnalu,o)- Pllnled Name Dalo Re (signal e) PI ed Nam Dole j 5 <br /> ]line <br /> O U O O O I C O CU OD W I ILL114VOICE-ANDLESUL S <br /> M.s(AOrt it Cuioai <br /> _ I I <br />
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