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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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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale. Othilva <br /> RETAIL. ENVIRONMENTAL. ENGINEERING - WEST 5e11al No: Page 5 of (a <br /> SfleAddress: 6i3tt"'w4re'-G Nve -, AnalyslsRequlred q�or ,c ,~, LAB: '5-e -LLAci <br /> 1—c-0: ��� r <br /> CHECK ONE(1)lax olilY G(!Ai IUYH AN°UIIi1111.1E <br /> 204— r Q'C'`/r]l 229- �1a3 <br /> G W moalorinp �_� 4115 24 haws ❑ <br /> Shell Englneer: lone No- 0 r <br /> A 1� ll.Inr.sgddlan 4441 4l houn I-L l <br /> Q[eX �avcZ Fax 7 -bra hy{I <br /> Consollanf Name 8i Address: P.p. Box 259 �cVONwafer� ❑ .1442 rlaayt Ilalrtwl) <br /> a1.ruuylnlsposal <br /> Enviros Inc . , Sonoma CA 11 6 cla.tuy/a4pa�nl ❑ +++' ah., ❑ <br /> Consullanl Conlach Ph 6 �.•'70.� _ m �►, oa a.ma,Sys ❑ 44S7 <br /> 2 Gq&rdeV- Fa91..-9,3 55 I C v a i v inon taltiWe l <br /> UI 0 walal Rsln.ar Sys ❑ 4463 soon as/oulhl.al <br /> Comments: ; Dam 24141 his ur <br /> 1 v � ? Omer ❑ <br /> y <br /> Sampled by: rka 0 o UST AGENCY: <br /> no m 4 O N n » <br /> P11nIe�d Name: - C-IgR'rcte i� n n fu m D 4 ° ° SAMPLE <br /> st1 �- o Xl � g MATERIAL. <br /> ; E a w o DESCRIPTION CONDITION/ <br /> Sample ID Dale Sludge SoR Wafer All <br /> No °( (D �j 0 ,� U COMMENTS <br /> canis _ <br /> q/1-7 <br /> lti•u.3�(.- y <br /> w. W <br /> R-811-nq 6y n ura}; Pine erne: Dole. Received(fin Ire). Printed Name Dal• <br /> 111 9• 1 e-k%.% �.kt. L+-u -- 11mwo, <br /> Q y idgnalu(a): d4fed Name: f3a1a: ive nal rled Nnme. _� l + ItrnE d nalur• Rnecal : Dale. Received(11gnaluie): Pllnled Nuino. DalRAT BY 11ST PROVIDE ACO'�QF11 LLQF-CUSTODY Wlr 1 AI9ILHF.SltII e. <br />
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