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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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7303
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3500 - Local Oversight Program
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PR0545644
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Last modified
5/6/2020 10:00:33 AM
Creation date
5/6/2020 9:52:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545644
PE
3528
FACILITY_ID
FA0003814
FACILITY_NAME
TOSCO CORPORATION #30878*
STREET_NUMBER
7303
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
07736021
CURRENT_STATUS
02
SITE_LOCATION
7303 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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L <br /> KAPREALIAN ENGINEERING, INC. y�' _ : VN <br /> fI <br /> CHAIN OF CUSTODY <br /> ISANVLER I SITE INK t RCOwE55 � AttAtiSfS REaIESTED � iYRR 7l1lE: I�. <br /> C- yrs- I ' aca1�5 - � . a� 1 14uI I 1 1 1 I ! 2 yrs <br /> C <br /> JV11YESSIRG Aslacy <br /> 111 a <br /> f I I ( ! ! I ! 00- ! 1161 1 ! I 4 I l <br /> REMARKS' <br /> } ID mro. I DALE } TINE S01 IYATE31JrRAS MXT.I tMATION J J I I I I I ! <br /> ' ► I I I"I�����//////I f s A r { <br /> o f4t . O v 2 ' E <br /> cc <br /> ICr <br /> .41 1 t I I 1 I ! I <br /> i <br /> F <br /> i <br /> ! I ! I I I I I I I ( I 1 1 I I I 1 <br /> "i by (Signature) Date/Time ( Received br- (Siq+ TW*) The following MS1 SE corVieted br the laboratory accegtinq sarples I <br /> I ! for amlysis: J <br /> 1lawe •ll saaptes teeeived for analysis been stored in ice? J <br /> I1tetimpi . (Sigmture) I Datertia,tr I x4eceived tW.- (Sigmuwe) I <br /> I i ! 2. vitt saaples twain refrigerat wait ar»lneV 3 <br /> Iatetie�rished by,. <br /> (Sigratux) I Date/fine I Received br: (Signature) 3.! Did am motes received for lysis have head space? J <br /> I -71, <br /> . . 1- I ! 1 O <br /> jL. terve saaples in appropriate containers and property packaged.+ t <br /> (Relinquished br.- (Signature) I Dmire/Tine I Receivrd by: -(SignMr'e) 1 t a <br /> I i ! <br /> K.-Co Date <br />
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