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ARCHIVED REPORTS_XR0002319
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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575
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2900 - Site Mitigation Program
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PR0542420
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ARCHIVED REPORTS_XR0002319
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Entry Properties
Last modified
1/23/2020 10:05:22 AM
Creation date
1/23/2020 9:50:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002319
RECORD_ID
PR0542420
PE
2960
FACILITY_ID
FA0024376
FACILITY_NAME
FORMER CHEVRON 98632
STREET_NUMBER
575
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
575 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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u Yes <br /> fax +co f of Lab Report and COC to Chevron Co ct: 0 No Chat 7ofo -Cusf }-Record <br /> Chevron Fac1W Number 9-8632 Chovron Contact (Homo) Brett 11uncer <br /> Foalelly Address -975-Grantline Rd. ._ Tracy, CA (ph o.e) (510) 842-8695 r <br /> Chevron U.S.A. inc. 9.-/ I — U Z <br /> PA BOX 5004 Consultant <br /> Project Number Laboratory Name Sequoia <br /> Consultant Homo Blaine, Tech Serva ces, <br /> Inc Laboratory Release Number 2642861 <br /> Sall Ramon, CA 94583 985 Timothy Dr. , San dost-, CA 95133 <br /> d .nmple• Colbcted by _ <br /> Hame)FAX (415)842-9591 Adre•e cu. K�iv+rl <br /> Qt/r <br /> Project Contact (Name), ,I im Keller Collsotlon Dote <br /> (PhonaA08 95-591—(rax Hu-b-0-AD-2937-823-3— Signature <br /> �pQ7 Analyses To Be Performed r 21,3e <br /> �q n DO NOT BILL <br /> X t o u p z c�1 v 8 �' a FOR TA–LB <br /> r X011 0 � N � <br /> fi0u �N �0 4N OJ tin wd a <br /> Ep A YY�Ii t R d f a ��� s� °u; ioo w �w {+w `th <br /> Y! x rA M 1 'I,v �L'� 3`� n." A. <br /> Remoriu <br /> W 1lrS (� / r Nor F1 <br /> yew -3 15 vJ Izoo 1{ <br /> ev..w —r f N/ azo <br /> -tea z V 2_0 <br /> o- <br /> %quished 9y (Slgnature) oryanitatlon D��/,Tl� Reosly /(Signature) Orgonlx�oll]on D t /,mme I Turn Around Time (Circle MOW) <br /> IJP vm �Yl � v _SFX 7� /a 24 fine. <br /> Bygnoture) Orpanhatlon Mopme Recelvod Dy (S1on Orgonlzatlon Dale/llme 49 MO. <br /> 95" a Days <br /> F -- 10 Days <br /> W By (Signature) oroanliatton Dat•/'nme Weve for aboratory Ity (Signature) Dal• me As Controoted <br />
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