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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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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l,�i ■ i■ ■i i M0NT%M1VY, 1R- .A�,W i <br /> a} 6 esapeake Dr 1 1 <br /> P O.Box 2180 Houston,TX 77002-7426 <br /> Redwood City,CA 94063 ,. P/4 <br /> - <br /> r 415 364-9600 • FAX(415)364-9233 CHAIN 4F CUSTODY �� _ <br /> F <br /> onsultant's Name: �A rAI( /A Ir c /� /iV 'r Page <br /> t ss: uf' e ," /r i �' � �- -_ Site Location. ✓ /� ` /� r / <br /> }f' Project#• Consultant Project#' Consultant Work Release#: <br /> Project Contact: Phone#• //;/c) ) , /� )~� Laboratory Work Release#. <br /> ' EXXON Contact: / Phone#• EXXON RAS#: <br /> Sampled by(print)- 1 �p Sampler's Signature. / c <br /> Shipment Method: Air Bili#. _ <br /> TAT, ❑ 24 hr ❑48 hr ❑ 72 hr ❑ 96 hr ❑ Standard (10 day0 ("10,l)1 u t 4 erre• r ANALYSIS REQUIRED <br /> TPH/Gas TRPH <br /> ' <br /> Sample Collection Collection Matrix #of Sequoias <br /> TPH/ Temperature <br /> Descnption Date Time Soll/vVater/Alr Prsv Gant Sample# STEW Diesel 5520 bf inbound Seat Yes Na <br /> i3 80151 EPA <br /> r 8024 8015 Outbound Seal Yes No <br /> CrD <br /> A Z9, <br /> I '/ ' <br /> "2 <br /> I V3f a <br /> Cr <br /> RELIN UISHEDY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> 71v� <br />
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