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ARCHIVED REPORTS_XR0004519
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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ARCHIVED REPORTS_XR0004519
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Entry Properties
Last modified
3/6/2020 4:58:44 PM
Creation date
3/6/2020 2:40:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004519
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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SJGOV\sballwahn
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EHD - Public
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SHELL OIL COMPANY L io�R CHAIN OF CUSTODY RECORD Dalo: w <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Sorfal No: q Pago of <br /> I o Acldross: <br /> 341 East Main St, Ripon, CA Analysis Required LAB: <br /> /ICY: . <br /> 204-6522-0307 cnfcKaNf(1)Sox WILY error TURN AROUND?]ME <br /> W <br /> -iell Englneor: Phono No.. (510) ow MOR104mo ( url <br /> 24 k9Ln <br /> Karen Petryna Fax2J.6 2J7g7821 11 1 <br /> it.lnr..lipolon ❑ l4rl <br /> onsullanI Name & Address, 49"°""` ❑ <br /> o <br /> 93ollClaakyl9kporal ❑ ��17 1640yr {No�rt+o0 <br /> Wal.r <br /> onsullanl Conlacl: Pone No . (4os) Q w clor,lryfD4poroi E] "u a".r <br /> m <br /> Francis Thiea7 _0 - co <br /> s0 0) ao'1 R.moriyr ❑ Nfz <br /> ommenls: 0 15 a � wd•�R.m ori Naffs NolWloaor <br /> U Q OQ_ b yj roan or losik{k ar <br /> N vo O i Ar ❑ i133 71/16"a 1A1 1 <br /> ampled by: �.. ' r4 e �. z om.r ❑ <br /> o a a C m } <br /> co to °° rn a ° N c z UST AGENCY: <br /> tinted Name: r 4 0 0 N o <br /> q as w d C o G O <br /> Sample 1D Dara slud�a loll walor Al. No of x til .0 <br /> X b N E c MATERIAL SAMPLE <br /> cones ,�. M ? y ;) u U 0 DESCRIPTION CONDITION/ <br /> COMMENTS <br /> Cor4rs�, Nl r <br /> 3 <br /> t <br /> �—dgnatura), Prinlad Nama Data, ?7 R°col { <br /> SWIJ• r Pr nfod Name- <br /> Date: <br /> o <br /> °inqul Y Pllntad am°. Dalo Ra oN d(sJ nalura)• Prelad No <br /> 1lfTl0s_-- cl,� k'14 fw,7 7.1y�('� nrfla; I�i7r <br /> lollnqul: °d By(:Jena uta . Prinl°d Hama pulu Rocoly d(aunoluio) Prinlad amo. <br /> Dole-.' <br /> Time Dole-. <br /> I1ma: <br /> 0 0 <br /> e+r w <br />
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