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ARCHIVED REPORTS XR0008992
Environmental Health - Public
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EHD Program Facility Records by Street Name
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V
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VICTOR
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880
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2900 - Site Mitigation Program
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PR0503634
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ARCHIVED REPORTS XR0008992
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Entry Properties
Last modified
5/7/2019 5:06:03 PM
Creation date
5/7/2019 4:29:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008992
RECORD_ID
PR0503634
PE
2950
FACILITY_ID
FA0005914
FACILITY_NAME
VICTOR ROAD SHELL
STREET_NUMBER
880
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04905032
CURRENT_STATUS
02
SITE_LOCATION
880 VICTOR RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD_ Dale <br /> -- RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No Page i o1 / <br /> Silo Address , i <br /> C? 0"j", 1`c dj �L,�( ,, Cry Analysis Required IAB -- <br /> WICri -- 1 I If(H ONI 11)nnX Orn Y�( I UI 1111M AFIOUND TIME <br /> _ z. �-�r - �w r L, (YJ"c�tr� <br /> "hep Engineer_ Phone Na 1 W Mnunnrinu I I „r I <br /> 24 hours <br /> Snn lnvasll viae 4411 <br /> I I <br /> Je !� Ry(rt ev% __ Fax # 0 -r./1 <br /> I <br /> Sols('IlsSlryr[3ISIN1571 I l 4e42 48 hours <br /> Cansullant Hama b Address �4a f. LJ I)A �1,� � N <br /> _ �,y C) W nnr $S illy$ ANurmill <br /> �YIr. �� l-C I�� rti-a Il, yi (Ivtllyiltl Ii> ,I I I 4441 <br /> Cr*Y I <br /> Consultant liOr kLt J Phone NO w SnllrAlr R©m o:Sys {htror _ <br /> 1 U 1'' - le o m o a la I I 44',2 <br /> �r✓,c� !o�lft -. faxN ��L lt,1L m N o� <br /> h] NOTE Notiiy l a4 as <br /> Comments —-- - - -- 0 a Q In Watnr Hein or Sys loan a$possible of <br /> CL Oa M I I 4453 241e0 No TAT <br /> ` tee IQn w awn <br /> W <br /> Sampled byCtt Lj`C Orn r' `n o <br /> co c a M $ o r UST AGENCY <br /> O Q ro rn m o c <br /> Prinled Name "— a al w m <br /> w w x m — o ;� ro MA I I HIM <br /> SAMPI E <br /> Na al T- z w ro N E } n c E I]ES[ Ill$'1 IUPJ CONDI I ION! <br /> Sample ID Dale Shidgo Sall Water Air 11 a I- —p w rn <br /> conk m > \� q � COMMENTS <br /> rT - � fz , <br /> �S •issue i� _ -- - - - -���f <br /> Rahn a[ur 11(inly4 Vame Ualolfl /Lk/ Ilecel n to f'nrq dY)ame Dale� <br /> � Tjrriej} <br /> Rellnqut e y Is ature — ---- -?te - --- � Date -� lieQLslna a 6 �c _ 7 �-1/ 'l 'Lw�1�� flme ��, y 1 { g , I'rlr�� Date-2- --!Fl <br /> /y��rJ L f Time �� - �- �G$ " i� F L Tlme <br /> nelln y s g lure Printed Name l Date necesve(f(slgnaiurel Prinled Narne <br /> _ _dale <br /> Time Time - - -- <br /> _ THE LABOJjATOIiY MUST PROVIDE A COPY OF THIS CHAIN OF CUS TpDY WITIJ INVOICE AND RESULTS <br /> REV e11197 SI1611 011 COMVAIyYCHAINOT MMIODY <br />
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