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ARCHIVED REPORTS_XR0002116
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HAM
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2900 - Site Mitigation Program
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PR0001333
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ARCHIVED REPORTS_XR0002116
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Entry Properties
Last modified
1/29/2020 11:48:11 AM
Creation date
1/29/2020 11:22:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002116
RECORD_ID
PR0001333
PE
2950
FACILITY_ID
FA0004067
FACILITY_NAME
CHEVRON SERVICE STA 9-4183 (INACT)
STREET_NUMBER
236
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03710028
CURRENT_STATUS
02
SITE_LOCATION
236 N HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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L" I G <br /> r ox co f Lab Report and COC to Chevron Cont ❑ No Chal —of—CUSfod @Cord <br /> Chevron Focll}ty Humber r,_ r3 Chevron Contact (Name) �I <br /> Fooltity Address I <br /> Chevron U.S A. Inc. (Phone) <br /> P o. BOX 5004 Consultant Project Number —{ �' laboratory Nome <br /> Consultant Nome U Gf.l �i V LASQ1T�Son Ramon, GA 94583 Laboratory Release Number <br /> Address��L_. �!✓ IQ � OQ�.�N� �, <br /> FAX (415)842-9591 ;— SomPles Collected y Nome) d C. /h Zlot <br /> Project Contact (Name)_ �72 �� ��L 'y C011eollon D <br /> (Phone)',�o 659--6'J�Fox Number�sA 692 077, Slgnature <br /> Malyae* To Be Performed <br /> I € a <br /> it <br /> F <br /> �nz 16 <br /> SM x n <br /> +++ � <br /> n �a Ao ops so^ Q- <br /> .b e U i N <br /> qq ' °{ <br /> Remarks <br /> X ----i 7` <br /> ,L9 X <br /> ! s l l,Z y x l <br /> -�- I A113T y X X X X X X )( <br /> -0--� l r' 1 ; y x u X X u� -qjJ-g ft <br /> b z"31 x X )( & <br /> P-Z-6.0 sb 1z'3yly k 4- <br /> P-7-6 ,-> I s D x x x <br /> -y-- S D z y <br /> X 0A/ <br /> R*Ilnq s By (51 of Orpanlzatlon pokeON S���y 1, <br /> /lkne 1'?kDO R*osked By (Slgnature) Organization ke/tims Turn Around Time (Chyle Choloe) <br /> AA� lI <br /> 24 Hre <br /> Relinquished By (Slgnature) -40" Orgonlzatlon Date/time Rate gnature) Orgonlzallon Dote/'nm Q Hrr <br /> r Ae 6 Days <br /> R uished 10 Doye <br /> sling By (Signature) Organlx Dots/Time Reoieved For to ory By (Sign r ) pots m* At Contrasted <br />
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