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ARCHIVED REPORTS_XR0002163
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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5431
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3500 - Local Oversight Program
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PR0545212
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ARCHIVED REPORTS_XR0002163
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Entry Properties
Last modified
1/27/2020 4:50:01 PM
Creation date
1/27/2020 4:35:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002163
RECORD_ID
PR0545212
PE
3528
FACILITY_ID
FA0025705
FACILITY_NAME
PETRIG SEED
STREET_NUMBER
5431
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
BANTA
Zip
95304
APN
21317047
CURRENT_STATUS
02
SITE_LOCATION
5431 W GRANT LINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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r <br /> I <br /> Fox copy of Lab Report and COC to Chevron Contact ❑ No Ch a! —of—Custody—RBCord <br /> Chevron Faclllly Number 5221-5 chevron Contact (Hams) Brett Bunter <br /> Fooluoj Addrvee 5431 West Crantline Rd (Ph0°°)„ Bouta CA (510) 842-8695 <br /> Chevron USA. Inc � 3 -\ Sequoia <br /> P 0 60X 5004 consultant project Numberq5-() � Laboratory Nam* <br /> 1 , Coneuttant Homo. Blaine Tach Servirras, Inc Laboratory Release Number 1714390 <br /> San RamonCA 94583 <br /> FAX ornDA42-9583 Add"" 985 Timothy Ur ,_ San-To-e, CA 95133 Samples Collected by(Noma) <br /> Project Contact (Name) Jim Keller Colleatlon Date 2 t7 <br /> (Phone) 08) 9957553hox Mmber)(408) _297-8773 Slgnoturr !� <br /> g Analyses To De Performed j�07E <br /> Nrt 'SILL <br /> y 'gY ° a E Q T8—L6 SAMPLES <br /> x g s <br /> z' a b � 1 � a P,� 7 g • ! <br /> a ppo btio 1' { n^ n nvs-rl Y�,I <br /> pa N N# !V Ia�� G(Pv Q •n �r l <br /> IL- },/n •46( r <br /> N 9 3t/1� 1 Nv 1-� a� � a.s ti.. V U <br /> 1.1 .E c — Remarks <br /> i <br /> R*llnqul h fly Slppa urs) Of9anhatlon Dol/itme R•oaMsd ( pre u`f) Oroonlzotlon Da! me Turn Around lime (Ctrals Cholos) <br /> lar�5 /l 5 1� Z 10 35 <br /> 34 We <br /> Rallnaulshe Slq Ire) 0 g otlon Dote me Ree* 6d By (Signoture) Organlrallon Dat*/nme 4e Hrr <br /> 7 8 Days <br /> 10 Days <br /> Retro 1Hd Dy (Signature) Orgonlzatlon Qot*/rime ed Fo ��orp� 0y (Slgnalure) te/Y1ms Ae Conlraoted <br />
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