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ARCHIVED REPORTS XR0001153
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 XR0001153
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Entry Properties
Last modified
3/4/2019 10:09:11 PM
Creation date
3/4/2019 3:45:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001153
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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A- VN6 <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD DaIa: 1J FK <br /> RETAIL ENVIRONMENTAL. ENGINEERING - WEST Sodol No: Pago <br /> 41 <br /> 5do Address: 620 West Charter Way, Stockton Analysis Required LAB: <br /> WICJY: ) <br /> 204--7524-4305 AI cutcx orrt{1)1ox o+ur cruor wart�taouxo nsat <br /> �N� <br /> Qualletrt wAlortoe 1441 '❑ elk <br /> Stroll Enginoar. Phono No. (510) 24 h°"" <br /> )75-GiGB .� fA.Inv..liQMlon ❑ L4J1 <br /> R. Jeff Granberry FqX 72 43houn ❑ ; <br /> sa <br /> Consullonl Noma & Addross: Fi balclaulhr/0kpo'a1 Cl t"I ILdayt �(Rormon <br /> Blaine 'Tech Services, Inc. walu <br /> TimothyDrive San Jose CA 95133 o � cla"Vy/Dkpwat ❑ �� 01hes [ _ <br /> Consullanl Contact: Phone No.: (408) .r �, ws2 y <br /> -S fat/Au l.rn or3yt <br /> Fran Thie FpX N 5313-8773 a 0/ o•�` ❑ HbT[. Holly taha <br /> 4 .eon or lou"N4,or <br /> (9 p 01. Wd.r 1l•ra or Sri may <br /> Commonls, o o N `� o 041.1 ❑ 24/41hn IAI <br /> u d z Oth•t ❑ ai <br /> 5amplocf by: ,(2 'V ArC C--&)- "1"'j E °co 00 - - 0 " o SAMPLE , <br /> a< + �? ' o T o MATERIAL. CONDITION/ <br /> Prinlod Namo: u, •- - o o ° DESCRIPTION <br /> No or x x �` o m o -$ o �' n COMMENTS <br /> Samplo ID <br /> [D(olaSludoo Soll Walor A!r conn rA ? Y <br /> J-4 y <br /> K — $q 107 <br /> } <br /> DaID z RoceMad s=Oijftxw"'!�'' P1lnlodrRa1lnq!UAsh*,d <br /> ulsho By( (} al ?. �rlt)tod Namo. ]� !/�(r <br /> �G il1A y Tlrna. 1 s'�i+a ' sinmo. . <br /> y Wonalutoy. � Printed Nama. halo Rvs�nc�o (slonalu Prinlod Naltw. Delo• <br /> Tlmo 11me <br /> uished By(slonalura). Prinlod Noma. <br /> halo RocelYad (slonoluro), Prinlad Name. Dote. <br /> Tlmo Tlme =` <br /> QI A 04PY��t115 C11AIN-OF GUSl4laY_SYJllU r� oN w ..•..r 'sr <br />
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