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ARCHIVED REPORTS XR0000713
Environmental Health - Public
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EHD Program Facility Records by Street Name
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B
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BENJAMIN HOLT
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3128
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3500 - Local Oversight Program
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PR0544112
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ARCHIVED REPORTS XR0000713
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Entry Properties
Last modified
2/7/2019 5:13:53 PM
Creation date
2/7/2019 3:39:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000713
RECORD_ID
PR0544112
PE
3528
FACILITY_ID
FA0005145
FACILITY_NAME
EXXON COMPANY USA
STREET_NUMBER
3128
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09523002
CURRENT_STATUS
02
SITE_LOCATION
3128 W BENJAMIN HOLT DR
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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eoa <br /> i Analytical EXXON CO NY, U•b•A• <br /> Chesapeake Dr. <br /> P.O.Box 2180,Hous ,7X 77002.7425 <br /> Redwood City,CA 94063 CHAt OF CUSTODY <br /> (415)3649600 FAX(415)364-9233 r <br /> of <br /> Page ' <br /> Consultant's Name: L L-r " <br /> Site Location, <br /> eq? <br /> --ma`�' ..� P l�� <br /> Tta, <br /> Consultant Project#: Consultant Work Release#: 7 <br /> Project#'. _^ <br /> Phone#: Laboratory Work Release#: c <br /> Project Contact: �, � ` r- 0 <br /> 6-41 , Phone#: <br /> EXXON RAS#: <br /> EXXON Contact: j ? <br /> c <br /> Sampled by (print): ,JC � ,� <br /> S' Sampler's Signature: 1-12y4 d <br /> Shipment Method: � -��'� Air Bill#: <br /> ANALYSIS REQUIRED <br /> TAT: ❑ 24 hr Li48 hr L) 72 hr LI96 hr Aandard (10 day) <br /> TPFVGas TPH/ TRPH Temperature: <br /> Sample Collection collection Matrix Prsv # o! Sequoia's S-M. <br /> BTEXI Diesel Inbound Seal: Yah No <br /> Description Date Time SoillWater/Air Cont. Sample# 8015! EPA 5520 outbound Seal: Yes No m <br /> 8020 8015 a <br /> a <br /> _ cn <br /> ©�r7 <br /> Cr <br /> Y <br /> L <br /> Date Tlme AddltfanalGomment9 <br /> R NQUISI-IED9Y/AFFILIATION Date Time CC PTED/AFFILIATION( <br /> �t <br />
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