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REMOVAL_2004
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0231883
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REMOVAL_2004
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Entry Properties
Last modified
9/25/2019 9:18:52 AM
Creation date
11/5/2018 11:59:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2004
RECORD_ID
PR0231883
PE
2351
FACILITY_ID
FA0002111
FACILITY_NAME
BEN HOLT SHELL
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
02
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BENJAMIN HOLT\3011\PR0231883\REMOVAL 2004.pdf
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EHD - Public
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2795 Second Street, Suite 300 Cal Science Environmental <br /> Davis, CA 95616 7440 Lincoln Way <br /> Lab: 530.297.4800 Garden Grove, CA 92841 <br /> ANALYTICAL ccc Fax: 530.297.4808 714-895-5494 Lab No. Page __L of 2 <br /> Project Contact(Hardcopy or PDF to): Geotracker COELT EDD REPORT? Chain-of-Custody Recor and Analysis Request <br /> Joel KiffX YES NO <br /> Company/Address. a, <br /> «. ai <br /> Kiff Analytical, LLC Sampling Company Log Code: CETS Analysis Request a o <br /> Phone No.: FAX No.: Global ID: 70607700441 <br /> Project Number: P.O. No.: EDF Deliverable to(Email Address): p <br /> 206-1015 41088 inbox@kiffanalytical.com � <br /> Project Name: E-mail address: <br /> m N <br /> 3011 West Benjamin Holt Drive, Stockton, CA inboxC9kiffanal ical.com 10 cc;B <br /> Project Address: Sampling Container Preservative Matrix LLI E _J <br /> O O <br /> LL <br /> Sample o <br /> P 7 �° O o z vi w` z <br /> cn w a O <br /> Designation Date Time c� a ¢ in = z oz z O ¢ <br /> T-1-10' 11/19/04.10:59 X X Ix I X I I X X <br /> T-2-10' 11/19/04 11:01 X X X X X X <br /> T-3-10' 11/19/04 11:04 X X X X X X <br /> T-4-10' 11/19/04 11:07 X X X X X X <br /> T-5-15' 11/19/04,11:10 X X X X X X <br /> T-6-15' 11/19/0411:12 X X X X X X <br /> D-1-4 1111910412:36 X X X X X X <br /> D-2-4 11/19/04 12:43 X X X X X X <br /> D-3-4.5 11/19/04 12:47 X X X X X X <br /> D-4-5 11/19/04 12:54 X X X X X X <br /> Relinquished by: mate Time Received by: Remarks: <br /> �/ fP <br /> Reiinquishe y: Date Time Received by: <br /> Relinquished by: a Time Received by Laborat Bill to <br /> lj 1j Yc�' <br />
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