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ARCHIVED REPORTS_XR0008002
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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5606
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2900 - Site Mitigation Program
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PR0541401
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ARCHIVED REPORTS_XR0008002
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Entry Properties
Last modified
4/14/2020 2:57:42 PM
Creation date
4/14/2020 1:19:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008002
RECORD_ID
PR0541401
PE
2950
FACILITY_ID
FA0006046
FACILITY_NAME
UNION OIL STATION #5098
STREET_NUMBER
5606
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
02
SITE_LOCATION
5606 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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lI <br /> CHAIN OF CUSTODY Page a of <br /> Lab CLS <br /> e <br /> TAT Standard <br /> Report results to Project Information <br /> Name Ben Henle bu <br /> Site Address 5646 Pacdic Ave <br /> Company ENSFi <br /> ENSoc <br /> Mailing Address 1(1411 Old Placerville Rand,SuEtc 210 Unoc No Qs84{�293-tQa <br /> city,State,Zip Sacramento.GA 95827-2508 Gl <br /> 508 al No 500 <br /> 7700O0$ <br /> Telephone No 916-362-7100 exL315 Gobal(t)No TQ6 <br /> Fax No 916-302-8100 Mal I yses Re ussted <br /> 4 <br /> to <br /> s psda!insmo;ons and+or specific mgufarorY requlremenls <br /> REPORT ALL PEAKS ON 8260 FULL SCAN g <br /> Lu <br /> m <br /> w Date , �.- .s_ a #._ � � Semple condition/Comments <br /> s&m le ldenttii6ti6d- P <br /> Ic�1CL <br /> 1carHCL <br /> lcafHCL <br /> ids�liCL <br /> r Z, <br /> GW $ X X ?C—X- <br /> Ice/HCL <br /> MW-27 ' <br /> ic�ct <br /> rca sci <br /> f <br /> �cs11-iGL <br /> Collected by J� �. Date/flme (rp-�J' <br /> d Collector's Signature, <br /> bate) me / 0 �`r. � Received 6y: tlataMme <br /> Re/lnQl�lshed by. _ 1�"1T """"' <br /> Relinquished by <br /> Uetw1rir»o Received by* DareMme <br /> Method of Shipment, Sample Condition on Rcpt <br />
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