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ARCHIVED REPORTS_XR0007416
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_XR0007416
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Entry Properties
Last modified
11/27/2019 11:37:22 AM
Creation date
11/27/2019 11:20:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007416
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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m s s r s r■■r rl� <br /> Phone(JI 082 211{1 <br /> FAX (910)786-78- AEGIS Environmental Consultants, Inc. Send results to. <br /> Aegis Environmental <br /> Z f5 Sample Identification/Field Chain of Custody Record Sul Rivrs,de,Suite C <br /> Rosevilie,CA 95678 <br /> �� Ile_ <br /> For Shell Projects Only <br /> Site Address 'OG ,s -�ac` �7`uc!� -� �� WIC Z Q - <br /> AEGIS Project# !0 ZO AFE <br /> Shipped By <br /> Cf/DL <br /> Shipped To Shell Engineer A11 � <br /> Project Manager *- 'e'dz'C Hazardous Materials Suspected (yeslno) <br /> Sampling Sample No.of Analysis <br /> Point Location Field ID# Date T me Containers Required <br /> A v-3 M V-319 7111,4a 4F/7r/ <br /> 30 ' Av- 3/1= <br /> 65,00,VE ice' Vg-,2/11 <br /> VN <br /> Sampler(s)(signature) zf—:' <br /> Field ID Relinquished IItl (si Lure) Received It (signature) Date/Time Comments <br /> (r <br /> Of z <br /> �a <br /> Sealed for shipment by (signature) � Date/rime Shipment Method, <br /> Received for Lab by (signature) Date/I'ime ' / Comments <br /> I <br /> Receiving Laboratory: Please return original form after signing for receipt of samples. <br /> \Vhgi 1Ofl'in 11 Ye 11— 1 4 f,"" <br />
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