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ARCHIVED REPORTS XR0002745
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HARDING
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16
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3500 - Local Oversight Program
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PR0508502
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ARCHIVED REPORTS XR0002745
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Entry Properties
Last modified
11/7/2018 8:52:17 AM
Creation date
11/6/2018 3:34:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002745
RECORD_ID
PR0508502
PE
3526
FACILITY_ID
FA0008117
FACILITY_NAME
ARCO STATION #4932
STREET_NUMBER
16
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13902001
CURRENT_STATUS
01
SITE_LOCATION
16 E HARDING WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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WNg
Tags
EHD - Public
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Ngc —/ Of <br /> bp Chain of Custody Record on site TI= gyp. 6 1—� <br /> c 'Project Name ARCO.4932 Extractlan well installaoo n o site Tlmf– <br /> o 0: . 7.' � `�l 14 kyr Cottdxt[ons cCw <br /> B'P Lab=fOry Contract Number: <br /> Date! �� l� �-L Mcteo�rolo eal. mts• cn&+r-- <br /> Requested]7ue Date W=/ �� S ed- {m44 DIrectian 5. 3�- <br /> 2�Ad <br /> d Ta: '{GEMFacil! NO.: ARCO Stattan 4,982 OansuUantJ 'ract�or. SECOR <br /> Name- UDi,A.,�1TA =C,AL. P/GEM�`rscttity Address,16 B.8 Way. Stcel0'�oa dress, $017 ore lid,Sro. 1Q0 <br /> dres5: S39 SUL% �r Ave. Sii;e Ili�T0. <br /> $ can to, GPl 956*4RazimIka Cordova. CA 95670 <br /> Sate Lit a-ma4 NDD. Obaz=s8secar ca= <br /> {".awornia.Global ID 4: 70607700237 Cansult�atJContmctarr Fr0 ect No 778PS4892 i3ugn <br /> Lab PM: Ran BobnX BP/GEM P.M Contact +Paul$q le Consnit'Aal/ContmCtor TCle/I'= 926.9610430 <br /> Telefn= 916 921.9600 Address; P-0-Box 6249 �rasultinticontractcx - R.Banko - <br /> Re ax-[ e&gC Level- �za .CA 84570 IavaiCCT.o� CaUSut tJCanxra a¢'or BP/OEM (Circl <br /> BP/{}EMAr_caunt Na_• ele f FZX 925.299 8891 vofcc +i, CO lip]e Ne"��or <br /> X.ab B otllc O�rrNa. 1Jatrzac Preservatives Req�stsEi AnxlyM <br /> i <br /> T- Sampla <br /> Descriptlaxa Taaae b n ""a � a, abontary Na N 4 � c � &mmpac Po nt Lat fmg <br /> o a <br /> lFEW4C ?� I ! <br /> �m 0=P3 <br /> .' W- ebf �✓ <br /> 3 f o <br /> 3 20 r oo <br /> w_ ' <br /> tv <br /> 3 y,� _ tel` <br /> 7 <br /> F�U-- <br /> C: 6 Incl a <br /> .�.� lE'r'S Name d � <br /> .Iil ler'S `C} ' Y' s f lAri� 7Yas�a <br /> Siii eat.Date <br /> SYu 1t�lglt <br /> n,atKmg Y0, 00 <br /> eciaY Yasxrv�ctfo�,s- �, xl * ll L• � <br /> 11210 <br /> ustody Seals In Place Yes lvo T e ,cure B1a�aTsYes ho_ Coder Temp=t ure on Receipt 45, few Blaxik Yes Na <br /> D»xbutuon wince Copy-Labcnwry!Yellow Cosy-]3p/GEM!Pink Copy. ustt:CanSfContrsc m <br /> >�k'GL?C�v x al�loz <br />
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