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ARCHIVED REPORTS XR0000715
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 XR0000715
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Entry Properties
Last modified
2/7/2019 5:41:58 PM
Creation date
2/7/2019 3:40:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000715
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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0 <br /> S quola Anal yilcal <br /> EXXON COMPANY, U.S.A. <br /> 6:0 Chesapeake Di. <br /> Redwood City,CA 94063 <br /> p.0.Box 2180,Houston,TX 77002-7426 <br /> CHAIN OF CUSTODY <br /> (415)364.9600 FAX(415)364-9233 <br /> Page Of <br /> Consultant's Name: rwIL <br /> P, Site Location. <br /> Address. -34) <br /> Project <br /> art Consultant Work Release C Cf <br /> Consultant Project M <br /> Py <br /> Project #: 3 3 Laboratory Work Release <br /> 11 Phone #: <br /> Project Contact; <br /> EXXON Contact Phone#: EXXON HAS : 0 <br /> Sampled by(print): it jig Sampler's Signature: !)77,0 lSite , ) , -:�Z CL <br /> -IT Air Bill It: <br /> Shipment Method: <br /> TAT: C124hr C148hr 072hr 096hr C) Standard (10day) ANALYSIS REQUIRED n14-5 L)? CA <br /> Sample Collection Collection Matrix # of Sequoia's TPHIGas TPM TRPH Temperature: <br /> Prsv BTEXI Diesel S.M. <br /> Description Dale Time 50111walet/Alf cont, Sample 11 BOIS/ EPA 5520 Inbound Seal: Yes No <br /> Gkilboulid Seal: Yes No CU <br /> 8020 8015 3 <br /> 0" <br /> IN <br /> o Z- <br /> FT <br /> 0 <br /> co <br /> Q) <br /> ;> <br /> RELINQIJI�r�BY/AFFILIATION Date Time A CCEP TED/AFFILIATION Date' Thne Additional Comments <br /> 57� Ap <br /> Z, /n,b <br />
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