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ARCHIVED REPORTS_XR0006210
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PERSHING
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4444
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2900 - Site Mitigation Program
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PR0540885
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ARCHIVED REPORTS_XR0006210
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Entry Properties
Last modified
4/10/2020 3:53:52 PM
Creation date
4/10/2020 2:47:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006210
RECORD_ID
PR0540885
PE
2960
FACILITY_ID
FA0023381
FACILITY_NAME
FORMER EXXON SERVICE STATION NO 73942
STREET_NUMBER
4444
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11022017
CURRENT_STATUS
01
SITE_LOCATION
4444 N PERSHING AVE
P_LOCATION
01
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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'a Ana"M 1%xfflc AiY i� lJ.sW m M -C _ <br /> a <br /> ZOOChesapeake Dr <br /> Redwood City,CA 94063 P O Boz 2180,Houston,TX T7002-7426 r7' <br /> (415)364-9600 • FAX(415)364 9233 , CHAIN OF CUSTODY <br /> } Consultant's Name, 1/l �� 7,t,'� Page of `- <br /> <' i'/ �' /� & it r f' r �� , , ,- '• -- Site Location* '/l/f/I/ <br /> Address <br /> sc /; <br /> Project#: Consultant Project#: Consultant Work Release#.() 1)r1, <br /> ProjectContact, rR t+- , 170 r L t ILALitJ Phone#• r/� ����• _ �� ; laboratory Work Release#: <br /> EXXON Contact: ,� / ( �,z r t „ ��_ �� Phone#' EXXON RAS#: <br /> Y <br /> Sampled by(print), -p, ,.. y �� Sampler's Signature, <br /> Shipment Method, Ste, Air Billeu— <br /> #• <br /> ' TAT: ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr ❑ Standard (10 d ) -'i CA A t l n << "' ANALYSIS REQUIRED <br /> TPHIGas TPHI TRPH Temperature <br /> Sample Collection Collection Matrix of Sequoia's s M <br /> Date Time Soil/Water/Air PfSv Cont Sample# l3TEX1 plesel <br /> Description 80151 EPA Outbound Seal Yes No 5520 d Seal Yes No <br /> 8020 8015 Outbound ca <br /> Q <br /> Cr <br /> F <br /> t 15 A� l Q <br /> H( <br /> t tt) IMP <br /> �( <br /> ?>I ,12 /I <br /> s ?sir/ AIP <br /> 1 1i7 0 VICE `? c <br /> TZO <br /> 3 X <br /> c X r <br /> } <br /> � Rcvl 1 � <br /> RELAY UISIJED BY/ FFILIATION Date Time ACCEPTED/AFFILIATION Date Time Addrtlonai comments <br /> --J.5--C7 1 <br /> r <br /> f <br />
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