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ARCHIVED REPORTS_XR0006345
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006345
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Entry Properties
Last modified
4/7/2020 1:03:55 PM
Creation date
4/3/2020 4:32:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006345
RECORD_ID
PR0528433
PE
2957
FACILITY_ID
FA0019174
FACILITY_NAME
CHEVRON SERVICE STATION 9-6171
STREET_NUMBER
6633
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741048
CURRENT_STATUS
02
SITE_LOCATION
6633 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Fax copy of Lab Report and t,uu to uneyron %,orILM k. U VW v,iuill V1 �u�l;•� �- <br /> Chevron Fadllly Ntanber 09-6171 .. Chevron Contact (Home) MR• BOB COCHRAN <br /> Faoliq� 6633 PACIFIC AVE. STOCKTON,CA.Address , (Phone) 925 842- 9655 1 <br /> Chtmron Froduats Co. Cettndlonl Proled Number385121 Laboratory Homo SEQUOIA <br /> P.O. BOX 6004 toboratory Sorties order <br /> San Ramon, CA 94583 ConwRant Boar._ G ER � <br /> ����f 6747 SIERRA COURT, SUITE J �'DUBLIN CA 94568 LaboratoryService Code <br /> FAX (925)842-8370 11 �� Sompla Con d by (Name) c, ) <br /> prefect Ca+taal (Beene)DEANN <br /> (p�)925-551-7555 an�M,6,r} 925-551-7899 Signature <br /> State Method:!! 10 CA ❑ OR ElWA ❑ NW Series ❑ CO ❑ UT IDAHO Rem«ke <br /> $ tea^ <br /> ++ O ; <br /> +an g o P <br /> wit: + tab Sample No <br /> X I <br /> � ��c•,� 1E j 0'Y / <br /> a <br /> 17, <br /> z <br /> �Y1 ' U dj <br /> 07 <br /> } <br /> f <br /> {L <br /> f <br /> I <br /> L I <br /> 4 11 <br /> f <br /> f I <br /> R By (Slgnot orlanikalion oole/rime Reedwd By (SlpnaNlnmn) orgardzat Date/nm kYed H Turn Mmatd TMte (Circle Choice) <br /> ,,Yu G-R INC. .Z'z-!�` � �� C�2 s lA-vt 24 Hre. <br /> Ral"d By (S1Qnmirs) &Vwhavon oats/nmeO Reaehred By (Slgnotum) Organization Date/Time ked Y/N . 48 Firs. <br /> fnqus <br /> S Dar <br /> ilea2.3.M to <br /> Reloquished By urs) organisation Date/iln+e Reclersd ror Laboratory By ( w.) Dole/11ms ked Y/N N Conlroc <br /> (A� �c.� <br />
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