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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
Scanner
WNg
Tags
EHD - Public
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HELL OIL COMPANY CHAIN OF CUSTQDYRECORD Da Ie. <br /> RETAIL ENVIRONMENTAL ENGINEERING •• WEST Serial No: <br /> Silo Address: 620 W. page Z- of Z <br /> Charter Way„ 5tocktorr; CA Analysis Requir d ITDS F-5 l Q• <br /> 204-7524-4305 <br /> MCC ONE(1)10X ONLY /DT TURN AROUND ITUr <br /> Shall Engineer; Phone No (510) cw moero�lap ut1 <br /> Alex Perez 67 -6168 24 hours ❑ <br /> Fax P 675-6I 72 a. SAOlar.rlbdloa ❑ 1111 <br /> Consullanl Nahgie &AOdress I o 41 hoursBI ❑ <br /> 11680nRogers Services, <br /> ,z7ose, CA 95112 soucb..uy�ou��ol <br /> 0 ❑ � If days ®(Harmon <br /> Consultant Conlpcl: Phone No. (408) -- � wal�r <br /> O J— clorrRy/Dhposof ❑ 1113 Olh�r ❑ <br /> ::::hie 573-0555 °' �+ �' Sou/A1,R•morSys ` <br /> Fax i9• 73--7771 °° ohm ❑ "42 <br /> a a� <br /> Comments, 0 � d � HorE Holflylob or - <br /> ^ r' wo+.r Rom or s <br /> 0 b N mow-' C) 1191 soon a�t'o�ilWrr o! <br /> CO O a Al ❑ 2e/11 hro TAT <br /> O O Q N <br /> Sampled by; N [ o , Z Olhar ❑ E 22 ' 05 <br /> O o PM 0- C N <br /> Printed Name L>�,�t , � < co a p Q M o UST AGENCY: <br /> n CL LU m ° C N <br /> Sample ID Aare 5ludpo sou waloT Ali No or x x w E A [ n. C MATERIAL SAMPLE <br /> coni: m y °' (°� ¢ o �► o DESCRIPTION CONDITION/ <br /> COMMENTS <br /> Relinq afore), Pilnlo Namo <br /> /1 C �� Tlmo b Z ti R a v d (slgnaA" .- Prinle m r <br /> . , i l<. Ot31a. z�� <br /> R ilnq o 9nature} � Prinla a o, r Dafa �.'Z R of slpnaEuro) <br /> l Priniod Nomo, DOW <br /> Tlma <br /> R d y(slghalure) Prinlod tJomo Dal o Rocod (slpndluro) Tlmo <br /> hinlod Nomo, polo _-z—t <br /> Time <br /> h.r a OM a �, <br />
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