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ARCHIVED REPORTS XR0010049
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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ELEVENTH
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103
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3500 - Local Oversight Program
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PR0544750
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ARCHIVED REPORTS XR0010049
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Entry Properties
Last modified
11/19/2024 10:19:03 AM
Creation date
8/12/2019 2:22:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010049
RECORD_ID
PR0544750
PE
3528
FACILITY_ID
FA0003706
FACILITY_NAME
CHEVRON USA #90959 (INACT)
STREET_NUMBER
103
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95476
APN
23313023
CURRENT_STATUS
02
SITE_LOCATION
103 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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Tags
EHD - Public
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�ax copy Ojeab Report and COC to Chevron Contact No Chai —of—CusfodyAkcord <br /> Chevron Fooft Number �^ tf Chevron Contact (Nome) <br /> havron USA, Inc – <br /> Faolllty Address ((� � i, 1( (Phone) <br /> k }� <br /> ' 0 BOX 5004 Consultant Projoct Number Laboratory Name l t t <br /> Consunant Name SIERRA ENVIRONWN`ML SERVICES Laboratory Release Number <br /> AX (415)84422-959911 Address <br /> on Ramon, 945PO BOX 2546, MARTINEZ CA 9_4553 Samples Collected by (Nemo) <br /> RICK HILTON <br /> Project Contort (Name) RICK HILTON/ED MORALES Collootlon Data �tI ` - <br /> (Phone) 510-37 0--12801Fax Number) 510-37 0-7959 1 Signature 7 t <br /> Analyser To Be Performed <br /> e CO NOT BILL <br /> g o - C]jEVRON FOR <br /> z °p'b o 4 .. <br /> 0 <br /> V) (7 V .� �+ +O ��- C N O N a 4 n SAMPLES <br /> E „ ' E N PN <br /> �j z to� r= F �i $ b a� 2— o Remarks <br /> is <, <br /> I <br /> OZ Z V <br /> 03 � ,t <br /> I <br /> Y <br /> S <br /> s <br /> tell yut�hed �5lgnoture)�� Oran;zatlon D e/T}m• LLhh R sM By (S gnature) Or 11 Date/Tl a [�)� Turn Around Time (Cirri• Choles) <br /> ` JU L [Y 24 We <br /> 2 IIMU14khl, qatur•) Orggn48 We <br /> lzaU D t•lTlme ljj Recr M By (Signature) Orpanlzotlon <br /> 4D. /71me l S Lie 1 <br /> U 6 l <br /> 10 Days_ \ R <br /> Rellnjulshed By (Signature) Orgonlzatlon D te/Tlme -2 Rwleved For Laboratory By (Slynature) Det ]g773 �" M Conirooted <br /> 55L2 - 1�e + 0'T F-t- 1 -14-93 I�5 /' <br />
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