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ARCHIVED REPORTS_XR0006235
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_XR0006235
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Entry Properties
Last modified
4/10/2020 3:55:57 PM
Creation date
4/10/2020 2:57:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006235
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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EXXON C ANY, U.S.A. <br /> P 0 !lox 4415, Houston, TX 77210-4415 Ligo _o <br /> VNO P O R A i E 0 <br /> ® CHAIN OF CUSTODY <br /> int AssunAUct or QUALITY ❑ Novato, CA, l I Digital Drive, 94949 El Huntington Beads, CA, 5702 Bolsa. Avenue, 92649 <br /> 415 883-6100 714) 892-2565 <br /> Pig(. of <br /> Consultant's Name <br /> Address G _ d SitL Location ` r <br /> Pro ect H Comultant Pra"t # Consultant Work Release 11 (:77_wz <br /> PhomL, b Fax# LaboratoryWork Release W <br /> Project Contact wc,$ <br /> ❑ EE 11C&M PhunL !1 Fix a EXXON RAS b <br /> L3XXON Contact <br /> Sampled h riot � Sam I+.r's 5i itaturL. <br /> 5lu mL.nt Method Air Bill H Shipment Date <br /> ANALYSIS REQUIRED SamplL, Condition iti RCCL LVL,LI <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 lir Standard (5 day) TL nperalum" C <br /> COOh,r N <br /> oInbound Seal Yr-s No <br /> m eo <br /> Outbound Seal Yes No <br /> tn <br /> u °O <br /> Sample Description Collection Mainx Prsv 11 of PACE v D 00 <br /> imenime Sod/WAt[r Cont Sample# S Q x Q a COMMENTS <br /> Hw FW F- W <br />� M&Z3 <br /> 4W-122 <br /> / Z7 TVa <br /> a <br /> �w z <br /> 1783 G <br /> Relinquished by/Affiliation DaW Time Accepted by Aff liation Dale Time Additional CotnmL111', <br /> Ihsinbulion White-Original 1 d1ow Won fink Iab GoWnrod C011N111taill I idd%1d1T <br />
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