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ARCHIVED REPORTS_XR0007409
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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6131
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3500 - Local Oversight Program
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PR0545003
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ARCHIVED REPORTS_XR0007409
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Entry Properties
Last modified
11/27/2019 11:35:15 AM
Creation date
11/27/2019 11:18:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007409
RECORD_ID
PR0545003
PE
3526
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
02
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SHELL OIL (."."OMPANY CHAIN OF CUSTODY RECORD Date 4�ze9L <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Senal No. Pale j of � <br /> Sac Address. lv 15 I Ae �*I�, {1 )t1c-t. Analysis Required LAB: <br /> ZM <br /> WICa --� JC'rJ - n i�q- CHECK ONE(1)BOX ONLY CTIDT '[URNAROUND TIME <br /> Shell En8mcer now No :9 1 C> Quarterly Monuo ms $461 24 hours <br /> Ku rt n Z I I Fan a toe,-F—G 39:� Sue Investissim CJ 5*11 48 hom -� <br /> Consultant Name A Address Soli far dupoal ❑ 5442 15 days X(Noml I <br /> F fr)L`. 3N RSsCt:�IG1+G43— WaierfordeWosal [] 5443 _ <br /> Orlin � a <br /> Consultant Contact. Phone No 911v r Aur Sample.Sys O&M ❑ $452 <br /> ` qz$^3300 t Wafer Sample-Sys O&M ❑ 3453 NOTE Nerdy Lab as <br /> `5he,1 n Krv--57e, Pax lr soon as possible of <br /> Comments �(�' 'Q�. Other ❑ 24/411 hrs TAT <br /> P15 refb r`L in PPM -4 P" I -- <br /> C >' SAMPLE <br /> Sampled By MATERIAL CONDITWN/ <br /> �' L' " DI:.SCRIP'110N <br /> Pruned Name COMMENTS <br /> T.,e�jTT��_ " <br /> Sample ID Date Seri Wats Air a �; " pq > <br /> s oso3 a <br /> ol <br /> ,u 3 /v <br /> ::H-I-j U- I <br /> eIUMU351W 8y n cure) Pr-m�t-od name- Dur. ] ) It we (si11nsture]. n <br /> (.•c Timr 1 "7 1 KG►` Ly W- 3—� <br /> utsi 8 ( ianature) Pr q„ Due I "A(in r ptmted <br /> • Y� Tim % G— 'V�� <br /> elmyushed By (sisnarure) Panted name: a ReceivedsiSutm Purled name ro—z— <br /> THE <br /> Time:LABORATORY MUST PROVIDE A COPY OF THIS CHAIN-OF-CUSTODY WITH INVOICE AND RESULTS <br /> 18%1 R.vuNxi Dale 013N1 -- -- --- - -- --- . ._ - - - - — -- - - - - -- -- - - - <br />
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