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REMOVAL_1999
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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440
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2300 - Underground Storage Tank Program
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PR0231055
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REMOVAL_1999
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Entry Properties
Last modified
11/27/2019 3:44:58 PM
Creation date
11/26/2019 2:28:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1999
RECORD_ID
PR0231055
PE
2361
FACILITY_ID
FA0002321
FACILITY_NAME
Delta arco
STREET_NUMBER
440
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
16503003
CURRENT_STATUS
01
SITE_LOCATION
440 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
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 Flo: Page ( of Z <br /> Sile Address: CHAKTE12, <br /> SToCKTr1I Arlulysis Required LAB: -e1 Leo <br /> `Y= SA 1" Cocic 2S g CIIECK 011E(1)AOX OIILY CI/D( tURll AROUIID nME <br /> LU 1 nc-dt4j f ggg 7 L J g� r � G.W. 1.1on1loring ❑ 4161 24 houir <br /> Shell Engineer. Phone No.: Q <br /> PE A (569 645-930 F+ SII•Inverllpullon ❑ 4441 4E hours <br /> KPcRfr� rax It:(55905-54+3 <br /> Consullanl Name & Address: SoIlClorrlly/Dlrporal ❑ 4412 <br /> cv W <br /> CAMQRIA Er1\nFw-iMENTX � NNOt-�GY, I��• �' 15doyr �(Iloirnoq <br /> w <br /> A lYalor <br /> P-0. 130K ZS9 So"OMA CA 95_4I O j Clorrlly/Dlrporal ❑ 4441 Olhar S-�Q <br /> Consullanl Cotllacl: Phone I'lo.: Sol]//11rRorrt or Syr. <br /> � m <br /> 00-1) 915-4559 ,-; N oe1.1 ❑ 4452 <br /> A uB12EY Coo L— Fax it:('Ifn)9N-6&+9 Q Q IlOIE: Ilollly lob at <br /> n Wolor Rain.or Syr. ❑ 415] coon or Porrlblo of <br /> Cor nils: li to <br /> U Ivl a o a 11 24/40 hit. tn1. <br /> 0 10 LU El <br /> n y: <br /> Sampled b o o 0) ro UST AGENCY: <br /> w co O »- <br /> Q O p U cn Q1 in <br /> Prinled Name: � � a) � — I -° r �' 0 SAMPLE <br /> ur 111 �, 0 v MATERIAL <br /> Q E CONDITION/ <br /> T I►)�- No.of , i i E p m o DESCRIPTION <br /> SglllhlE' ID pale flucig 5011 VJalet Ali coals. ;'_ m > rQ1 U Q U ti U COMMENTS <br /> T(,/-7 - S <br /> T N — - - - - - <br /> — - - - - <br /> '�s t,J l – 3-C), <br /> 04,0 — � — — — � xx � 61 <br /> Relin uls led By (sig q lur � Ptlnl Na ne: U_ale: $- 13 Recolved (slgnalule): Plinled Name: Dale: <br /> 1 �0 11 30 C'-/l2itr " '—�S Type: ri3n <br /> luno; <br /> Relln ted ( gnalul ): Prinled Nattte: _ Dula: R slue (5lgnalu10): — Pllr I ldamo: Dale: <br /> � %YL�...L, c,.a.�- !!!Do: l b Q7 L-- f ilme: <br /> ocol�J nalule): 11,1111led1`EIII19: Dale: <br /> Rellltqulslted By (slgnalure): P1lnled Noma: Dalo; <br /> _ 111110: Elmo: <br /> TllE_11�U4�L�LR _MgjLPRoYIP_E A Copy of U15 C11A II-0E-CU5LqjjY w�_IllyolcE ARID su s <br /> �n <br />
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