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FIELD DOCUMENTS_FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0506186
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FIELD DOCUMENTS_FILE 1
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Last modified
3/6/2020 2:57:19 PM
Creation date
3/6/2020 1:23:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0506186
PE
2950
FACILITY_ID
FA0007258
FACILITY_NAME
RIPON SHELL
STREET_NUMBER
341
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
26114007
CURRENT_STATUS
01
SITE_LOCATION
341 E MAIN ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date: <br /> U RETAIL. ENVIRON E Serial No: <br /> M NTAL ENGINEERING-WEST Page I of <br /> Site Address: ` <br /> 3z1/ Analysis Required LAB: 5qua►A Qaaj-1--ri cAL- <br /> WtC�: <br /> a <br /> CHECK CrKin)max CNLT CWW WSMAROUM1W <br /> 20 -- (v 5&7- <br /> Sne®Eeec «"v D 4"1 <br /> c_w,rAor>w <br /> _� gone Na.: �•� C <br /> -SEF RAA1 !E" Fax#•• nl <br /> 3RD Maaelpallo49 r 46hm <br /> Consultant Name&Address:tlyq ios�k S#, j e C. oN z <br /> rr b t` Soachm nrm1wowl ❑ Alt?no ladaj.C-A �Woa+ndD <br /> mR )MC, <br /> Q .XX ,°J rm+rWater rp�ee ❑ Au3 <br /> Y Consultant Contact. Pbon4 No.: orr�. El- <br /> 510- <br /> 510- tI2-o-07o a N �? sero.learn of Sr. ❑ <br /> w �� <br /> MA Q- 1Fax#:qz6-c1tja u o Kot Hees,loprp <br /> c� Comments: n Qa.. Wdhr Berm of Sy.. ❑ soon=roaaaa <br /> N w <br /> O&M 443 <br /> 249/40 bra UC <br /> 10O <br /> � U 4 ® z Other E)Sampled by:'Nit-1p T <br /> °cl° °q° Q p ab M f3 <br /> y �" o o UST AGENCY- <br /> Printed Name: a a w o c o u <br /> U= w o .o d D o a MATERIAL SAMPLE <br /> r"`1`4 No.or z :r $ N F fl c e- E GONDRfON <br /> Sample ID Date .Si�edyRy Sop water Aftconk. ' m >° ,m, V Q U U DifSCRIP?tON COMMENTS <br /> N (q.s 412 CI:so <br /> S-2 e&6) <br /> rid <br /> CF> s-z C�.s� 1�'r o x t 640, .b <br /> S-2 (9-0) X _ x x 60418M �- 04 <br /> (NOLL) <br /> 141'3o K 1 X x 5041808 <br /> 1/:349 <br /> z S- 5 5.o X � x x Y'l 6042809 <br /> it:Z.D X <br /> I X x X 6041820 <br /> ) n fe: d pn*ff P mo: fe <br /> he <br /> cwn N1nqdawTd8y(aa5nukx*)Ff1Pr <br /> l od Do10 . Receive 1Dttre): — Printed Name: Date <br /> 7krroc O o: <br /> °O -. imed Nemo: e A Air►fed nmo: <br /> Dote: <br /> z moi S a Orin• <br /> W <br /> a�iOrOw r4rr�+. <br />
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