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ARCHIVED REPORTS XR0012767
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 XR0012767
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Entry Properties
Last modified
2/7/2019 4:27:50 PM
Creation date
2/7/2019 3:44:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012767
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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quota Analytical <br /> o Chesapeake Dr. EXXON COOANY, U.S.A. <br /> tDof ��j L.(� y <br /> Redwood City,CA 94063 P.O.Box 2180,Houston,TX 77002-7426 I <br /> (415)364-9600 • FAX(415)364-9233 CHAIN OF CUSTODY 1 <br /> Consultant's Name: 4 5;71 C envt,. �p Page of <br /> Address: ��z2y, `, ,� Site Location: <br /> Project #: Consultant Project#:r:z:�C&-6?/6� Consultant Work Release <br /> Project Contact: �-p, ,' /�t,� , p� Phone#�� e� Laboratory Work Release#: <br /> c <br /> as <br /> EXXON Contact: Phone#: EXXON RAS#: '33 3 v (j <br /> Sampled by (print): ��,�, S Sampler's Signature: / <br /> Q <br /> Shipment Method'. -9 Air Bill #: <br /> TAT: IJ 24 hr U 48 hr rJ 72 hr 1-196 hr tandard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's <br /> TPH/Gas TPHI TRPH Temperature: <br /> BTEXDescription Date Time SoillWaler/Air Prsv Cont. Sample# 8016/ EPADies5520 InboundSea4: Yes No <br /> 8015/ EPA <br /> 8020 8015 Outbound Seal: Yes No <br /> ZI <br /> _ Cr <br /> CIO <br /> I o CD <br /> i <br /> Cr <br /> CO <br /> t <br /> LAS � <br /> REL1N (SHED BY/ FFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional comments <br /> Zfev 0)�. <br /> I <br />
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