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ARCHIVED REPORTS_XR0006794
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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6131
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3500 - Local Oversight Program
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PR0545003
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ARCHIVED REPORTS_XR0006794
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Entry Properties
Last modified
11/27/2019 11:34:13 AM
Creation date
11/27/2019 11:03:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006794
RECORD_ID
PR0545003
PE
3526
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
02
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SHALL V1L �,Vwir��v Y f,-,SVA � - . ..- _� <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No: I Page of IS119 Add,": (O131 PkG G Analysis Required LAE: 'c' <br /> i i 3 CHECK Ori#(1)IOX OrILY CT/DI TURII AROUND TSM[ <br /> SAJP Cccl : 136149 ! <br /> 4r\c:04—+ *-: 9899(.%,R5 j a W. Monllomo ❑ 4441 44 hou+/ ❑ <br /> Shell Engineer: Phone No.: <br /> Zgw9') 6f5r 9-30,& k 1 1"Inv 811100110111 ❑ L+I 46 hour ❑ <br /> Ka>t*% pe' h d- Fax It ate. <br /> • • {�I N Q Soo Clo►tlly/Dlrpewl ❑ 4;44 l6 days {Irormall <br /> Consullanl Name & Address: nsowr�Y,Ido, Iy <br /> CAIlAs GHVIRANMPsNTA•L N ` °?°( clef <br /> Q Q. z NO C i I( p C os4 1fy/DUporal ❑ 4443 olh•r ❑ <br /> �.. <br /> Consultant Caniacl: Phone No.: 9s3- g �, N � SoR1AtrR.rna�Sys 44sz <br /> �+ ('7cn) a1 a7 06 �O 4'M I" ❑ 11016 Ilollly lab at <br /> AueI�E <br /> COO�-- I Fax 0:6m)gx-64+9 1 Q Wolf Rom.of r loon Possible or <br /> I L �d .. w O }"' O 8 M y ❑ 443] 44146 his 1Ar <br /> Comm�enls: v N (11 <br /> z orh.r ❑ <br /> ` "'• I 1 � uy C4 Q 1 <br /> Sampled by: , �,p, , r w a so CIO �, a. o V5 c LIST AGENCY: <br /> r I�o o as C e 0 , <br /> 1 +ina. `� o. a + ° ti ° SAMPLE <br /> Printed Name: I LU w ., "" o .n CD a MATERIAL CONDtTiON/ <br /> +�- F Na,or ' s �= U o o �► o DESCRIPTION COMMENTS <br /> ID Dole wga soil Walel r Alr conts � �°' m > to u 00 Q 0 a U <br /> Sample � i ,, —__— <br /> � - <br /> S� -J -�•5 24 <br /> SB-G 49.5 zs — <br /> � <br /> 0 D <br /> 1030 q <br /> —� . — — <br /> ----- 4 1100 <br /> I x fi <br /> 5w �jt7� �/ 1 W � x Dale: <br /> Re nqu she By(s pna ure • 1 PI le ame: Dale'I a d (slgn fuie), Prin 66.6Norj <br /> �C- Coo a� if e•t t lrm , v <br /> Rolla ill Ignal e): glnlod Name: '.• !t Dale•1 Ivad luie), led Name; i Da e• <br /> _ Time: <br /> � 1Tme;I <br /> Rellnaulshad By(slgnaiule): Prinled Name: E i Dalv:l e d(sigrwlure): Prini i d Name• I data• <br /> lima• <br /> t i Tlmell � l <br /> ., U 00 W U nwoecnaeuwar <br />
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