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ARCHIVED REPORTS XR0007471
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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EL DORADO
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141
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3500 - Local Oversight Program
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PR0544645
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ARCHIVED REPORTS XR0007471
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Entry Properties
Last modified
7/11/2019 11:41:13 AM
Creation date
7/11/2019 10:16:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007471
RECORD_ID
PR0544645
PE
3528
FACILITY_ID
FA0004979
FACILITY_NAME
CIVIC CENTER PARKING*
STREET_NUMBER
141
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13909002
CURRENT_STATUS
02
SITE_LOCATION
141 N EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
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EHD - Public
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SHELL OCL COMPANY �� --- - -- - �- <br /> CHAIN OF CUSTODY RECORD Date 47`7//' -3 <br /> —RETAIL ENVIRONMENTAL ENGINEERING •WEST Serial No Page of f <br /> Site Address <br /> w 1�I—, Analysts Required LAB 2 <br /> CHECK ONE(I)BOX ONt�T1QT TURN AROUND TIME <br /> Shell Engineer Phone No Sf L G W Monnoring 4461 <br /> Site Investigation ❑ 441 2a hours <br /> -,,� _ Fax# �z-_�/�-c 48 Hours f 1 <br /> Consultant Name& Addresses r o So�lClasSuyrrn5po5al f 1 4442 <br /> ! , co Walor 15 days �}.r-4cJormalt <br /> co�sL1 - �L/Cc l- -�7d�y _.`. X Classify/Disposal 4443 cher <br /> Consultant Co*-A- Phon No .9 w <br /> �2- -2 r`D ~ S O&M Rem or Sys ] 4452 <br /> I Ct rZ Fax # ��rG 713 L m m as <br /> Comments C7 I NOTE NotdyLabas <br /> N Q � Water Rem or Sys soon as possible of <br /> i O D C3 t1 O 6 M I I 4453 <br /> ! �q0 i 24148 his TAT <br /> Sampled by I � ___ Ln Ln N v m m Omer <br /> 0 o w <br /> P <br /> Printed Name I a ¢ a LM o s` , } UST AGENCY - - <br /> - - - — - ° N - <br /> MATERIAL SAMPLE <br /> U) <br /> Y X o <br /> Sample ID-- Date Sludge Sall Water Air Nontst a a"m DESCRIPTION CONDITION/ <br /> COMMENTS <br /> tt <br /> Pnnted Na � Date � �� Rece g f � Printed Name H/ 1 Date <br /> rl <br /> AN �.eTfine z , �! _ _ -- L��y�{ Date slued r Pnnted Nam4�� tit__ -- Time [ `` � Tlme Printed > }?_ _3 �-4=, <br /> Date -- Received sI nature) Printed Name Date <br /> --� — —__-- Time <br /> Time <br /> THI LABOF-A-TO- Ry MUST PROVIDE A COPY OF THIS CHAIN OF CUSTODY WITH INVOICE AND RESULTS <br /> REV 411143 - ---�- - --- -- - - ---- -- - - — - <br /> S1ILL L OIL COMPANY CHAIN OF CUSTODY <br />
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