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ARCHIVED REPORTS_XR0004540
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545484
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ARCHIVED REPORTS_XR0004540
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Entry Properties
Last modified
3/10/2020 11:52:48 PM
Creation date
3/10/2020 11:20:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004540
RECORD_ID
PR0545484
PE
3528
FACILITY_ID
FA0003714
FACILITY_NAME
LACHHAR CHEVRON*
STREET_NUMBER
334
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
26115041
CURRENT_STATUS
02
SITE_LOCATION
334 E MAIN ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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rax CopAt Lab Neport and COC to Chcvron Cont. ❑ No Chain—of—CustO —ReCOrd <br /> Chavron Fatuity Humber —1452 Chovron Contact (Name) Brett Hunter <br /> Golilty Address 334 L. Main St. , Ripon, CA (Phone) (510) 842-8695 z <br /> Chevron U.S.A.il.S.A. Inc.lnc. `�lo �z g _ f--z <br /> P 0. BOX 5004 Consultant Project Number Laboratory Name Sequoia <br /> Consultant Name Blaine Tcch Serviccb, Inc <br /> San RgmOn, CA 94583 Laboratory Release Number 9033828 <br /> FAX (415)842-9591Addrera i68d Rogers Ave. , San Jose, CA 95112 Sample* Collected by (name) --771G�.u- <br /> Coilsotlon Data <br /> Protect Contact {Name} Fran Thi e -z i P 9 7 <br /> (Phone)408-573-0555 1Fak Number)408-573-7771 Signature <br /> kLi Malyeas To D• Performed I30 NOT BILL <br /> c <br /> FOR TB-LB <br /> z �vIt; X25 z � g !� ° �� q <br /> b I I I o T2 9 r. ° o c <br /> t» N V U 4 4 y�, E ^� U <br /> tEj ^' (p� � (L V FO CS� FVN� �N Y� tl� nn a I\I <br /> M J � ' T ♦� u O 7'v _V y5 fa�O `Tryj L <br /> J Remarks <br /> '3l� J/S�o f,�c Y x ?� <br /> ^,w -3 3 <br /> x x <br /> 1 , <br /> I <br /> Rsllnqulrhsd By (Slynaturs) rganlzatlon Date me Reoelved <br /> /�t1 [Ty (Signature) Organization Da a/'Tlme Tum Around Time (Gird. Chole) <br /> — � r .31#7 3�X� 24 Nr.. 3 U <br /> 1 Rol quishod By (Signature) Organliat1on Date/Mme Recelvsd Dy (Signature) Organization ate/llme 40 lira. <br /> 1 s. r 3 5 Days <br /> 1 <br /> Rslln ulshed 10 Dayr <br /> q Dy Slgnolur.} Organlzallon Dale/'I1me R•ci�+r•d For Loborat Dy.(Slgnalure) Date/'tlms As Controatrd <br />
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