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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 L OIL COMPANY ]AIN of CUSTODY RECORD Dale• -t - g <br /> - EST I Sepal IJo Pagel <br /> RET IL ENVIRONMENTAL ENGINEERING W <br /> Silo Address: Analysis Re uired LAB- SeQuotq <br /> _' C <br /> l^!1j' CIIECK Or1E(l)60X OIILY Cr/DI TURIr AkOUlid i1Mf <br /> 2c4- 44-1 io- o3o6 �' <br /> 1, G W NlanMorinQ ❑ Lr61 24 hours ❑ <br /> Shell Engineer: Phone No ' <br /> (IMS) 645-9306 0 ^ sHr Invesllgollon W4441 AI hour ❑ <br /> 1K.a-2'aPa na. Fax 11 <br /> :tsse rDn- (-, <br /> Consullanl H(98,& Addre s• I sail clnuurroupasal ❑ uat <br /> v 15 day; <br /> (Ilormal) <br /> J%sonrncPI -I--eGhsq-l0 1.Ic.,. °0 < ' aeaa <br /> Cambria 9y� X Wal.r <br /> .f3. Z-59, $onprnr 54-7 ie ixi P �j clardly/pl.porol ❑ alh.r ❑ <br /> Consullant Conlact Phone No : m soll/AIr Rom or syt <br /> {(,.� (70-7)93�-4859 °; CK) cdN w o e M ❑ 44s2 <br /> V� Co c) Fax il: 'lo09I5-Wf! � a Qn. NOIE IfofUy tub or <br /> Walol Ram or Syr soon ar Posslblo of <br /> Comments w O 6 M ❑ 4a5] 24/46hr )Ar <br /> IN Z Olhar <br /> v c ► ElI' <br /> Sampled by: Awbe- ��� LID 0 n d ° <br /> v " UST AGENCY: _ SS� GP��._-_ <br /> LJ to rn ¢ o � in C <br /> w w Q O 7 0 . m '" <br /> Prinled Name: o II a MATERIAL SAMPLE <br /> I+ - No of z w H w o DESCRIPTIO CONDITION/ <br /> A c <br /> Sample ID Date 5oll Walei Ali colds °: �'- ; U Q (j rs- U COMME14TS <br /> 156 - 3 - 15 o/ t�COLt� <br /> to G, o' `�•3D _ _ �� I-� �—� <br /> C�` to k-b <br /> za <br /> SPS - 3 � 25 0' 9 Ik7 <br /> Sg -3- 3o n ` 9-50 — - - - - <br /> II ti <br /> 9's5 a L <br /> 5.,g - 3.. +0-o' to a5 , �� � '�'`� <br /> HdU:> <br /> Relln 9d 8y <br /> (-sig Pilnl i Name Dale / R e (s alure) � F Prinled Name Dole <br /> pigh ad 8y(signature)• Prinled Name; Dale I R ed (signal re) I1 P riled Na Dale• 8'ilrne !i_n. '1dL Timeed Ov (slgnaluto)• Printed Nana. Data elved(sl na ufe) 1' Pilnled Naine Dale <br /> lime ilme <br /> LABOgAlog U O O O I I OF CU510DYYJ O C D SU S <br /> M.t cw 0-A 6r cuiooe <br /> II <br />
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