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ARCHIVED REPORTS_XR0004238
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3500 - Local Oversight Program
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PR0505603
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ARCHIVED REPORTS_XR0004238
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Entry Properties
Last modified
3/9/2020 9:26:39 AM
Creation date
3/9/2020 8:37:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004238
RECORD_ID
PR0505603
PE
2950
FACILITY_ID
FA0006892
FACILITY_NAME
SHERMAN HINAMAN TRUST ET AL
STREET_NUMBER
2409
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15542001
CURRENT_STATUS
01
SITE_LOCATION
2409 E MAIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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u res <br /> Fax copy of Lab Report and COC. leo Chevron Contact: ❑ No -Chain--Of-CUStOd —Record <br /> Chevron Facility Number #9-6258 Chevron Contract (Home) MR. BOB COCHRAN <br /> Facility Address 2409 E,. MAIN @ F ST, STOCKTON CA. (Phon+) (925) 84.2- 9655 <br /> P <br /> Chevron rtrdtrclr Co. 3SEQUOIA <br /> 8004 Conrullant Project Number Laboratory Name <br /> P.O. n Pr <br /> Consultant Mame_GE.�, 1 . ER RYAN TNC: t laboratory $*Mce Order <br /> San Ramon, CA 94583 6747 SIERRA COURT i' SUFE J DUBLIN CA 94568 <br /> FAX (925)842-8370 Address r , Laboratory.SaMce Code r <br /> # 3 # Project Contact (Name)DEANNA L. HARDING ' —--- Samples Call• ted by (Name) t <br /> 925— <br /> (Phone) 551-7555 89 FaNumber) 925-551-7Signature f <br /> ; <br /> ,.- <br /> 1 State Method: 0 CA .❑ OR ❑ WA ❑ NW Series ❑ CO ❑ UT IDAHO Remarks <br /> l <br /> CJ <br /> 13 <br /> Z. <br /> 1� Nq [V t <br /> �P +O O� p �r0 �� as ° l� ON �poy i Q # 1 r•a <br /> Lab Sample No. <br /> TBLB 1 W HCL <br /> _ .'1 <br /> R•limpleh•d By (Signature): Organization Dote/Time Received (Sly atur Organization we/Tlm+ lead Y/N Turn Around Time (Circle Choke) <br /> G-R INC. . 7.,v:�.66 Se , 24 Hes. <br /> Rellmosh•d By (Signature) Organization Date/Tim; . Received By (Signoture) Organ ration Oat+/lime Iced Y/N 48 Hre. <br /> 3 Day <br /> 10 0 <br /> Retlnqul•hod By ( ure) Qrganlzo!on Do./Time Reoleved For Laboratory By {S +) Date/rime Iced Y/N Ae Contracts s ) <br />
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