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ARCHIVED REPORTS XR0001069
Environmental Health - Public
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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620
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3500 - Local Oversight Program
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PR0544216
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ARCHIVED REPORTS XR0001069
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Entry Properties
Last modified
3/4/2019 9:52:09 PM
Creation date
3/4/2019 3:20:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001069
RECORD_ID
PR0544216
PE
3528
FACILITY_ID
FA0003738
FACILITY_NAME
CHARTER WAY SHELL*
STREET_NUMBER
620
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
Stockton
Zip
95206
APN
16504007
CURRENT_STATUS
02
SITE_LOCATION
620 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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WNg
Tags
EHD - Public
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SHELL OCL COMPANY �[ � CHAIN OF CUs DY coR�' Date: <br /> RETAIL, ENVIRONMENTAL. ENGINEERING � WEST Serial No: d S � ;i <br /> E!Addrov: Pag© of <br /> 620 W. Charter Way, � �� � Z` <br /> y, , stocktoTr; cA Analysis 4�5F3�1 a <br /> y � Re red204-7524-4305 <br /> [(1)SOX ONLY MOT TURN AROUND IME <br /> ngtneor: phone No • (510) aw 1donloring 6D 4161 <br /> Alex Perez 675-6168 24 hours <br /> Fax s11.1nv.srr�larlon � <br /> Consultant Name &Address: ❑ 11 haus <br /> Blaine Tec S675-6172 ery ces, T C. El <br /> 1680 Rogers Ave. , San .lose, CA 95112 2! SoNCkmWylDkpasol ❑ 1112 lade r <br /> Consultant Contact. Phone No . (408) -- w wars <br /> r ®(Harman <br /> .. N cn Clossky/p ilposal ❑ I143 Olh.r ❑ <br /> Fran Thl e F 573-0555 0 o IF/A Rem atSyi mss= <br /> Comments: : 573 -7771 d <br /> v <br /> Wal.r R.rs>,or S HOT[ Norlry lab or <br /> N v to Y• ►eon as/oulbl•or <br /> p p o ato O a M ❑ 116] 21//8 hn TAT <br /> Sampled by: � N v j- Z o1h.r ❑ E 22 <br /> Printed Nam o. C. nA c t,� " a p n ' o m UST AGENCY: <br /> L� Q d -, D .n u <br /> a v o c B <br /> Sample 1D Dole studQe soli water Alf NO °t = w Ln °' ° a °' MATERIAL SAMPt>r <br /> cants �: w � a� u ¢ U v DESCRIPTION CONDITION/ <br /> �I 1 �-tt <br /> COMMENTS w1 J 3 <br /> i <br /> r 3 <br /> s <br /> rn.j <br /> Relinq s e sl r � Pdnled Name r ac I od (slgnalusa <br /> �• [ � Pr! ed amo <br /> R 1!n he mo r �I an <br /> -za � <br /> (slflnalure) Prin a o ( � Date Ovm �- 2 3o <br /> e ,wv� ,� Z;'r o d (slflnaluro) Prinled Name.Re q ed (sl naluro) Am° �I Dag <br /> Y U Pr plod Name Dalo Re ad (sl naturo) Amo <br /> Prinlod Namo Dafa 2z <br /> . � T1mo � c��C( <br /> it Time. c <br /> 11 nN a o,,, <br />
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