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ARCHIVED REPORTS_XR0002165
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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G
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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_XR0002165
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Entry Properties
Last modified
1/27/2020 4:58:35 PM
Creation date
1/27/2020 4:36:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002165
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
Tags
EHD - Public
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I <br /> ❑ Yes <br /> Fax copy of Lab Report and COC to Chevron Contact ❑ No Chain—of—Cuslod —Record <br /> Chevron roolAty Number 52215 Chevron Concoct (Name) Brett Hunter <br /> Facility Mdr"o 5431 West Crantline Rd„ Banta CA (Phone) (510) 842--8695 <br /> Chevron USA Inc g4061(o-Z I Sequoia <br /> P o BOX 5004 consultant Project Humber Laboratory kom• <br /> � 84583 Consultant Homo - Laboratory R.I•oee Number <br /> 1714390 <br /> San Ramon, Addree• 985 Timothy Dr , San Jo 133 — Samples Collected by (Nam.) "ri Blest <br /> FAX (415)842-9591 <br /> 4 Jim Keller to l- n� <br /> Protect Contact {Nom.) Coll.allen Da <br /> (Phone)(408) 995-553&.. N..b.,) 40$ 293-8773 slynatun_ <br /> — -- -- <br /> Mohra To Be Performed �o7E <br /> Do NoT BILL <br /> eg ' z -(6-1,13 SAMPLES <br /> z is <br /> z E o OUp +{ on C~ np p� �, j. w0. <br /> ,� VI s a s <br /> o O <br /> a, ! • E n N o ao� $ �o <br /> 9 z' tn3 r rR S4 W <br /> Mw-r 3 w qW <br /> m , t 3 qZs x Z <br /> mw-3 3 Q4S <br /> i <br /> I — <br /> I <br /> — <br /> R•llnqul.h d Cy (Sl notur.) Orpanlzallon D • m. R .4 lgn.tu. Organlzatlon Dabe/nme Turn Around Time (Circle Chow*) <br /> �r,C� s P L/411� �/ ��l 10;2 24 ltr, <br /> 48 H <br /> re <br /> Rdlnqul X Rs Arad Cry (signature) Orq.nfiaUon Dale/71m. <br /> orgarilzouon <br /> 6 Days <br /> laDay <br /> . <br /> R.ltnq tgnaturo) <br /> Organization Dat./Time R lw•d For Labaralo 8y (Slgn.lur•) Dat•/'Time M Contract.d <br />
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