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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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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale' t-15 -99 <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST <br /> Serial 1,10- Page (0 of <br /> SiJe Address: Analysis Required LAB: �uoLA <br /> v•� r Lad's <br /> CIIECK OI{F{I)iIOX OIiIY C11U1 )URI1 AAOUlID T1h1E <br /> w1cu: <br /> 20 J� — D&Of `~ (;W Monludnq ❑ wl 24 houn ❑ <br /> Shell Engineer: Phone No Saolnvoslluc6an b� 4441 E)("s) (.-+S-9306 .I- f 46 houn <br /> Karer, Qe na. Fax ft•LSse 6n- o <br /> & Adcire Soll Clorslly/QUporol El4t4i 15 days IINIM0ll <br /> Consuflanl N irle•�4 mem 1 --eay,,,,ta�y, jv%c ca W131ar <br /> Caw.bn*x <br /> 444] Olhal <br /> Clgr�ily/Dlsposol ❑ ❑ <br /> pd 9 Son�mr C� 54"1 ro a <br /> Consullanl Canlacl; Phone No : m so11,A+i Rare o15rs ❑ 44s2 <br /> LTO-1)936-4'8x.9 p a °�° � W a d M IrolE MIRY lob ar <br /> u,�p1<rle Cpp� Fax it:(101)935—W" () O Q �2 WdatRam arSys Loon porrlbleol <br /> a- n o a)A ❑ 4as] 24/48 hrs IAT <br /> Comments- U -0 N V iO <br /> O O 10 0 X1 Olhnt ❑ <br /> U <br /> Sampled by. o R o c USTAGENCY- S?GP _ <br /> wb V �- <br /> Q ¢ a p "o_ c o SAMPLE <br /> Prinled Name: w w v o ❑ 0 v o d ° MATERIAL <br /> a CONDITION/ <br /> • a. x `c w o DESCRIPTION <br /> Sample ID Dale 64miP 5o11 Wolof Air NO °I CL am. "" o p — '^ o n`. o COMMENTS <br /> conis ►- r— > r— U Q (} <br /> HoLD <br /> 513-q-� <br /> S13 - <br /> SS-g- -5` d' — <br /> S� <br /> 44 0 LD <br /> SV�sr 5•� I ��`- - <br /> 3$ <br /> -{p L C) <br /> s a --5-15-v' l-40 _ <br /> Ly <br /> rinla Name U_alo / /� /r Rac ( aluoe) Prinied Name <br /> Dale <br /> Rel)n ufsl ed By(sl lure) _ / / L i v <br /> �q��P.� jlrno <br /> l <br /> � Daia 1 (sl t luta) P(bfinled I�dr Dale! /P f? <br /> R I d Pllnled Nante <br /> d By(SIgnaiure) lime n-'1 '7/t rt- lef'7 Time t 3-1-1 <br /> pale R calved(signalum) Prinied Name Dale <br /> ` Re1lnqulshed By � naluly) -Pt-In--led Namv � ma <br /> Tlrne <br /> DIi'j1'MU51 PROV112EA-Q-0-1111yOF 111i 0 CU ODY Willi 111YOICED RESULIS <br />
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