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ARCHIVED REPORTS_XR0012122
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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4707
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3500 - Local Oversight Program
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PR0545229
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ARCHIVED REPORTS_XR0012122
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Entry Properties
Last modified
1/24/2020 12:48:07 PM
Creation date
1/24/2020 11:47:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012122
RECORD_ID
PR0545229
PE
3526
FACILITY_ID
FA0003903
FACILITY_NAME
TOSCO CORPORATION #31258
STREET_NUMBER
4707
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10816004
CURRENT_STATUS
02
SITE_LOCATION
4707 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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AWI Chain—of—Custod — ecord <br /> Faclllky Number <br /> Contact (Name) 5700 <br /> FaoElfty Address t'h ( (Phan.) <br /> Ir Consultant Project Numberyl�vlLaboratory Name Se uoia Analytical <br /> TOSCO Consultant Name — — Laboratory Release Number <br /> raeer.eo.eesao <br /> Address sG7�7__Ss_ Qllr -.—Silit "' T SamplesT) hT iirA g456a Colected by (Name) <br /> s..nnnac+abffA.s's•' Project contact (Noma) Deanna L Hardino- Collection cote <br /> (Phone)510-551--7 Fax Nu.b.r)51Q-551-788B Signature <br /> Analyst To Be Performed DO NOT BILL <br /> TB-LB ANALYSIS <br /> E �, z o <br /> is a <br /> '71702 05 <br /> 3 pp ypU� <br /> Ce9 <br /> 8 — <br /> a6 � a. .a� 4z a <br /> a* p <br /> O. Vl E e va v pp..o °1,ri W �m C aCI m c� <br /> {A r (R °- F'� �v 4v �~ � c� v Remarks <br /> X <br /> I <br /> s <br /> i <br /> Rellnqut�h Organization Date/Time ReoefVed By (Signature) Orgcnlzatlon Date/Time Tum ArouTid Time (CTrcf. Cholos) <br /> G-1t Inc. �' 1 24 Hra <br /> RoUrMulshed By (ST4notsa v) Orgonlzatlon Dat•/Tlme ReceN• gnaturs) Organization cat•/17me 48 Hre <br /> 5 Days <br /> Rslln��tlehed By (519i1atuR) r�� Organization Dot•/Tlme Reatevd For Laboratory By (Signature) Dake/Time4 ontraate <br /> 2.2- 1 �,I S --_ <br />
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