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ARCHIVED REPORTS_XR0011389
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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4445
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2900 - Site Mitigation Program
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PR0541263
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ARCHIVED REPORTS_XR0011389
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Entry Properties
Last modified
4/13/2020 3:03:11 PM
Creation date
4/13/2020 2:36:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011389
RECORD_ID
PR0541263
PE
2950
FACILITY_ID
FA0023640
FACILITY_NAME
PERSHING GAS FOR LESS
STREET_NUMBER
4445
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95210
APN
11018006
CURRENT_STATUS
01
SITE_LOCATION
4445 N PERSHING AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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_ <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dalry $rI�-ti4 <br /> RETAIL ENVIRONMENTAL. ENGINEERING - WEST serial No , (� 1L - 2- Page ( I of <br /> S <br /> iloddress ^� n • <br /> 4445 Pershing Ave. , Stockton, CA Analysis Required LAB: ( <br /> �d <br /> , <br /> 204-7524-2408 CHICK out n)sox arrtY error MphAROUND nlet <br /> G W Monloilnq 44i1 I <br /> Shell Enginoor Phone Na (510) �' 14ho'un ❑ <br /> Alex Perez 675-6168 3101ny,1lpolon ❑ u41 <br /> Fax N: 675-6172' 4shom ❑ <br /> Consullanl Nano & Aodress, <br /> O <br /> SoYClallazne 1eServices , Inc ry/D11P0101 ❑ 4411 t <br /> ,d 16 dayr ®Ulormatl <br /> 1680 Rogers Ave , San Jose, CA 951.12 �; xwater <br /> ; <br /> Consullanl Conlacl <br /> Phone No (408} -- o _' clorrYy/DUPa+al El44�� otn:t ❑ <br /> Fran xhie 573-0555 i o oNjAk em at Sy, El 44s� <br /> Fax !? 573-7771 a NOT[ Henry tae ae <br /> Commonls :4 'Q wal•rlt•marSy, 445) loan a1toirlbl•ol <br /> JW61 <br /> -0 c�+ COoAM ❑ a4/As hurAr <br /> o <br /> IU n M , <br /> Sampled by °, zot ❑ t <br /> C) tJ C N <br /> b � °' °i 2 �, UST AGENCY: <br /> I rlra od Name ?A-OL- Si4�W�4 1' a 1 d n O o o a, ° <br /> t `- `r' (`°_ ° ° ° 1v1ATERIAL SAMPLE <br /> Sample ID Dale stud a son valor Air 1� °l z �� L b �' CONDITION/ <br /> p o i 2 o m o o a, o DESCRIPTION <br /> cones ce > U Q U U COMMENTS <br /> I� t <br /> —I; —XI <br /> --- I <br /> is t <br /> wnjh (11{)nplura) Ptlr1? d Alamo Dal 5 Rocof d (fl al Prinled No D a I a <br /> __i_' � i✓ itmo s R - - (l / Gf'�e a <br /> B sl le) Prinlod MarnaI Dala' Racofvod(s gnaluto) Pllnlad Npma Dale, <br /> I Tlmo 11m0 <br /> hod By(slgnalura) PrIniod Name Da]o Rocol+od (signaluro) Pltnled N mo Date � unv <br /> Tema ✓ t w Tlmo ! 36 <br /> f 11U&BORAI RY MUST.PROVIDE A COPYY Qb1E1 <br /> .,aon.rc�w� <br />
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