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ARCHIVED REPORTS_XR0006819
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_XR0006819
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Entry Properties
Last modified
11/27/2019 11:48:20 AM
Creation date
11/27/2019 11:09:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006819
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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I <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD dale: fi��4� <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No: � Page 21st <br /> to Address: 6t3k a-X�c, A4,c. � ,.►. <br /> 1� Analysis Required �Gvq LAa 45-C nA <br />�Ich 4 l CHECK ONE(1)lox ONLY CTIDT TURN AROUND BARE ; <br /> 204— �£.� 01 y 1" �tia V 03 i , <br /> I� ❑ <br /> WI Engineer: P lone Nod. 5, <br /> U Gw Alonlodnp /lfR 24 ham <br /> SR.Invullpatfon r el 41 hours El <br /> L� lc� �_V"CZ fax :cls-6l7a al <br /> onsullant Name& Address: )0 i 1j I LR ClauGyrof'. Cd ❑ <br /> P.o. Box 259 1112 16 days la�awq <br /> nviros Inc. , Sonoma CA 95476 _ w°'" 111] <br /> � � Clanpyro>tP4m1 I� 0Ih.1 ❑ <br /> onsulfanl Confach P9 ne N m ial!►Ah Rom as SYS <br /> J G4a1"AeN FCjX : q P�F64c 8 C�—) a ed '`-� O&M I I_J 4412 NOTE. 11*14Eabat ' <br /> i <br /> C9; ❑ a. walol Rom.of SYS ❑ 415] =UU his o1AT"al <br /> nmmenf S: '[] ti � �" a a M <br /> 0 O N 13 <br /> a 11j Z Othor ❑ <br /> ampled by: `14. � , 0 � a f: a � i <br /> 0 co o 10 0 UST AGENCY: <br /> N <br /> rtr�fed Nanne: • baa-f � fb a a c o f t SAMPLE <br /> Ljj�. lLi 0 n ri o H n. ' MATERIAL CONDITION) <br /> No of x ar+ o a o o a DESCRIPTION <br /> Sample ID Rafo Sludge soil Haler Air coals � � � > ►°— U 1` � (� U � I COMMENTS <br /> 4• G 6 <br />' Vow- 5 <br /> UAW— <br /> Vrr;� 'r L4L1q,Zld0 'Z^to q Ily a a); PI F�ma. DalRe ad(Uanalure): Pflnled,Name• Dala.9 7 <br /> ey(tlpnallxe : i'rll a ►r�p; — ILI 0 RacoTved d [k� a• <br /> ny ��i . --` I�n� I I -rrse• j <br /> lilBy dpna ): P Inlod!Maine: Dole- ]['I' Received i Euro): Prinled Nu /IDole. � <br /> ma: III flaw• <br /> F..tA�BATQRlL�1lf I.QfiQ111DF AC !ICE AHESULI ' <br /> �a o.,a wee, � <br />
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