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ARCHIVED REPORTS_XR0012112
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MINER
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3500 - Local Oversight Program
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PR0541875
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ARCHIVED REPORTS_XR0012112
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Entry Properties
Last modified
3/16/2020 5:45:57 PM
Creation date
3/16/2020 2:36:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012112
RECORD_ID
PR0541875
PE
2960
FACILITY_ID
FA0024017
FACILITY_NAME
CHEVRON SITE 306415
STREET_NUMBER
437
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
APN
1392417
CURRENT_STATUS
01
SITE_LOCATION
437 E MINER AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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11mbd <br /> �' -t (9 f f O <br /> CHAIN OF CUSTODY Page f)E -t <br /> ER Lab: CLS <br /> FAT: Standarc <br /> Report results to: <br /> Narne Ben Henin9tug Project Information <br /> Company ENSR Site Address: 437 East Miner Ave, <br /> P42iling AddreSS 10411 old Placerville Road ENSR Job# 06940-325.100 <br /> City, State.Zip Sacramento,Ca, 95827-2506 Unocal Jots#: 9987 <br /> Telephone No 91ii-362-7900exL315 Global IDH: T0607700539 <br /> Fax No- 91f,362-8100 Arai sus Ruested <br /> Spe�nl i�ssln.�cSVx�s andrpr gprtscir:.ns�uS3�4ry re�uireimerrts: <br /> � � 2 <br /> nate: TEn�g Ilitatrixl:• taa oF= a uJ Sample ConditionJC�omments ° <br /> Sample ix4entificatfon '.. sam'lod Sam lud Midil CariEs; <br /> U-3 — 't L:! GW 4 X X ICe1HCL <br /> U-10 Z G1N 4 X X LOCAICL <br /> NP-1-22 j'2-' GW 4 X X I�et►�CL <br /> PIP-1-65 c _.; iGW 4 X X IcelHct <br /> Ice1!iCL <br /> I <br /> NF-1-1.11 12 5Y G W 4 X f.X <br /> NP-2-22 rty GW 4 X I X IcerNCl <br /> NP-2-60 C_ G=,l l qw d t'XX Ic��x�cL <br /> NP-2-116 i r3� y GW 4 IcetHCL <br /> Qq a. 2-C' Jc Gw E Va.1hiCL <br /> Datemme C q;y Collector's Signauref <br /> Collected by: _ Clltt - <br /> �,,,,_ ,�� <br /> Relinquished by: F asrerTimr y ., 'i? .. Received by. Dar nra <br /> Relinquished by: Date/Time Received by; telTima 1 1� <br /> Method of Shipment. Sample Condition on Rept: 7 ` I <br /> r <br /> a <br />
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