My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0003751
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
C
>
COUNTRY CLUB
>
2575
>
2900 - Site Mitigation Program
>
PR0541989
>
ARCHIVED REPORTS XR0003751
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/21/2019 9:18:29 PM
Creation date
6/21/2019 4:43:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003751
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\wng
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
66
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
SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale: fi9-Jan-q,7 , <br /> RETAIL ENVIRONMENTAL. ENGINEERING - WEST Serlal No: IPage d2 of <br /> Silo Address; <br /> a57r Couw CN61-57-0ahm , cif Analysis Required LAD: .Se ofa <br /> 1u: CHECK ONE(1)101(ONkY CtlPr TUR11 AROUND TIME <br /> 204- 75R q - 3 50 5 W <br /> '0G W MonRoring ❑ 4111 <br /> Shell Engineer: Phone No.; 1- 24 how• <br /> - 616 1 <br /> TlSlFax11 gg7 SYS Invdlpolon 44414ihnun I <br /> Consullanl Name & Address: P.O. BOX 259 srauclarruYlalrporul ❑ 4412 ridoye Illwrnau <br /> Bnviros Inc . , Sonoma CA 95476 xx� w�•+ <br /> Consullanl Conlacl. P1i a Nc� �p7 c i CWnIlyJPlrpornl ❑ ��+� olh•r [l <br /> Joe Neely u N g c oal�uR.rnuiiyr 11E: <br /> Fax : fs -66 I Q ,n HOIF 1109y Eob ar <br /> .(i�j ❑ 0. MAGI Rom or syr <br /> loonol rorrble ofComrnenls: O i 1 1 4131 <br /> co <br /> R11/1rr��An IA[ <br /> :i2 ~ u z olhor ❑ q-7c) t�z4 <br /> Sampled by; J N La <br /> Do o a N �„ UST AGENCY: <br /> Prinled Mame:Jo-f 1U � a 4 m N <br /> n. I� m o .n � n SAMPLE <br /> No �{ c E MATERIAL CONDITION/ <br /> Sample ID polo Sludge Soil Wal Alr conlsr m ? ,�. �j '� v 0. U DESCRIPTION COMMENTS <br /> Rw•�[ � W1.5 <br /> Ra nq By(Yanalure). NF4w flatr}a�:Q, , Dale. Z Q7 Race d ('gnal Ire) Nn d Nam s Dnla. <br /> Nu�L TIrrL, ,mooIlmIL <br /> RsJIr a&had By( unaltme). Prinled Name. Dale. _lRecsilive-d(ilvna uta). Pdnlod Natne: Dalai <br /> BI!Y1°. llme <br /> RalingtitftiMd By ilpnalure); Printad flame. Dale. <e[v ( nalure)I Printed Name S Dale. k-2 <br /> Q-i <br /> rime. ZLf <br /> ODY.SUE LABORATORY MU21 PHQYII1. jCVffQLM13!QQVRWITllIU1Q AflQ3 <br /> ww MINI MLI <br /> n�[x Qn W woe. <br /> 0 • • <br />
The URL can be used to link to this page
Your browser does not support the video tag.