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ARCHIVED REPORTS XR0012681
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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1347
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3500 - Local Oversight Program
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PR0544667
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ARCHIVED REPORTS XR0012681
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Entry Properties
Last modified
7/17/2019 3:48:06 PM
Creation date
7/17/2019 11:16:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012681
RECORD_ID
PR0544667
PE
3528
FACILITY_ID
FA0004962
FACILITY_NAME
CHEVRON 90342 (INACT)
STREET_NUMBER
1347
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14716030
CURRENT_STATUS
02
SITE_LOCATION
1347 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Yes <br /> fax :.-o(.. of Lab Report and COC to Chevron Con, A: D No 401p—of—cusfc; � — ecor � <br /> owvron Foams Humber Chwmn Contact (Homo) t <br /> .. Mdtnee �?Y i— .Iwf4 DS S'7rx�{ . -- <br /> �hrl+ron U.S.A. Inc. fodrr (Phos.) �; ��- <br /> P.O. BOX 5004 Coneultent P-ject Number lot labomtory Name__- 0 —ST <br /> ffl <br /> Son Ramon. Ch 94583 ConeuRant Nam�e7 r'f l.l, _ laboratory Rebase Humber D <br /> FAX (415}842-9591 �dar«e_,_G ISD W. Wtn70� ./e ..... ... .,. sample Conealed by (Name) c tip <br /> Project <br /> Project Contact (Name) Cotieotfon bates <br /> (Phone) 2-1 0o'0 rax Humber) L_o$ 5lgnolure G ), <br /> 6 <br /> Motyeee To Be PerformedQ. <br /> coo <br /> ts <br /> t a • <br /> Remark. � q, <br /> +mss- ► S !2. Y X ���� <br /> C Com\ T(0) Z76,,A. _ <br /> Cu5 •�T[h/5 � Z <br /> p R Rr ( orgontratlon Date/1_no Reoelved ey (Signature) Organlrollon Dote/)line Tum Around Tkoe (CtreN amloe) <br /> �" �� — J•�•5. 12�3e 4 24 Nra. <br /> F ow (wWwta•e) ! O%Wxatlon Date/Time Received by (Signature) Organlrallon Date/Ttme 40 We. <br /> DM <br /> 1ldingo-hed as( n) orl"hatlon ;bb/Time Rwleved For Laboratory Dy (Slgnatum) Dale/Tkne F <br /> M Cwr$oabQ <br /> i <br /> roti <br /> r <br /> - kit+ <br />
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