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ARCHIVED REPORTS XR0000612
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CENTER
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139
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3500 - Local Oversight Program
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PR0544169
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ARCHIVED REPORTS XR0000612
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Entry Properties
Last modified
2/22/2019 8:45:40 PM
Creation date
2/22/2019 4:22:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000612
RECORD_ID
PR0544169
PE
3528
FACILITY_ID
FA0006437
FACILITY_NAME
CHEVRON STATION #90557*** (INACT)
STREET_NUMBER
139
Direction
S
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13730012
CURRENT_STATUS
02
SITE_LOCATION
139 S CENTER ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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'-, 1 .,13 <br /> Fax-- cop&f Lab Report and COC to Chevron Co t: ❑ No Cha-in-of—Custo —Record <br /> Chavmn FocEllty Number 9-0557 Chovron Contact (Moms) firer[ 11unrer <br /> Chevron U.S.A. Inc. <br /> FaolElty Address <br /> 139 South Center St. , Stockton, CA (Phone) (510) 842-8695 Conauttant Project Number `��9Zy-�- <br /> laboratory Name- -Sequoia <br /> Blaine Tech Services Enc. <br /> San Ramon, CA 94583 CDnAddroa Name - r Laboratory Release Number <br /> X85 T:lnlatlty Dr. , San .IOSE', CA 9133 a <br /> FAX (415)842-9591 Adde :nmpleo Collected by (Homo) <br /> Project Contact ("am*) .Tim Keller. Collooll to _2-14--1e <br /> (PhonaYM-99j-=-5_,.,(rOK Number)-HB 29--8773 Slgnutur• <br /> An0je•s To Be Performed �a <br /> g ° DO NOT BILL <br /> Zu n. u [' <br /> v P' o FOR TB-LII <br /> 2 U o <br /> IL <br /> r C4 no n XJ tii <br /> u <br /> Ta ay� W �r'u �"or, <br /> 9 x srr3� r 1';� (`�" o" 4" n- ��� i� tom. <br /> Remarks <br /> hw �I D I y x <br /> -TR <br /> li <br /> i <br /> \ittliKulahod QY (Slgnoture) Orpnnh!a'tlle� <br /> �on DaTime Roaolvod lay (Signature Orgonlrallon Dale/Tlme Turn Around Time (Circle Cholas) <br /> vlahed By (Slgnoture Orgonlratlon Pate me Recoty4d I)y (Sig urs) Organization Dale me 48 tire. <br /> � _ R.L-� <br /> a <br /> 13y (S1 attire) Organization note me L a Ily (Signature}^ Do sin s 10 Day. <br /> Ae Contrnoted <br />
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