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ARCHIVED REPORTS_XR0005742
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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6100
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2900 - Site Mitigation Program
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PR0515353
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ARCHIVED REPORTS_XR0005742
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Entry Properties
Last modified
11/19/2024 1:50:32 PM
Creation date
4/1/2020 2:39:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005742
RECORD_ID
PR0515353
PE
2950
FACILITY_ID
FA0012099
FACILITY_NAME
ARCO STATION #595
STREET_NUMBER
6100
Direction
N
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
6100 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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11 1 <br /> Work Authorization No. 27240 00 �11+�1n 01 �usr<vay i rays u. <br /> ARCO Facility No City,State(Facility) Project Manager(Consultant) Project No (Consultant) laboratory Name <br /> 00595 I STOCKTON CA Rusty Ben sky 077 43130 050 Sequoia <br /> ARCO Engineer ARCOTelephone No Telephone No (Consultant) Fax No (Consultant) Global ID <br /> Supple,Paul 510 299 8891 916 861 0400 916 861 0430 70607700319 <br /> Consultant Company Consultant Address Method of Shipment <br /> SECOR-SIRC i 3017 Kilgore Rd,Ste 100,Rancho Cordova,CA 95670 <br /> Matrix Prsrr. ; <br /> Special Detection <br /> 1 1' UrniVReporting <br /> m � <br /> $ i TI< <br /> c E , <br /> m, <br /> mat } � ;W No <br /> 0 3 *� m m a <br /> E W o p E <br /> U O a <br /> E Q CX 0) q p = l— <br /> m ca <br /> CL in $ = a a <br /> z It <br /> MW-1 X Q D X X 10 1 Special QAIQC <br /> MW-2 X X X , 10 <br /> MW-3 X ba X X 10 0 Sub'd COC Attch'd - <br /> A , <br /> MW-5 x x x 110 ( - <br /> MW-6 x x x 110 , <br /> MW-7 I X X X 10 <br /> WSW X X X 10 <br /> TB-1 i X X 10 Y <br /> 4 _ <br /> Q i <br /> a: <br /> Sample Received Intact: Yes No f Temperature received Ice No ice <br /> Rellnq by sampler(Si n&Print Name) Date Time Received by(Sign&Print Na <br /> Rv py �rFquL-z I I <br /> �Q Leib work No <br /> R inquish D to Time Received by i <br /> Relinquished by k Date Time Received by,laboratory Date Time <br /> i Rev 11/29/95 <br /> r <br /> ,i 1j � <br /> I � i <br />
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