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ARCHIVED REPORTS_XR0011411
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FREMONT
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2494
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2900 - Site Mitigation Program
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PR0506171
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ARCHIVED REPORTS_XR0011411
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Entry Properties
Last modified
1/9/2020 5:00:16 PM
Creation date
1/9/2020 4:52:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011411
RECORD_ID
PR0506171
PE
2950
FACILITY_ID
FA0003863
FACILITY_NAME
SOHAL #3
STREET_NUMBER
2494
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15328008
CURRENT_STATUS
02
SITE_LOCATION
2494 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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ELL OIL COMPANY CHAIN OF CUSTODY RECO Daln. QST,: <br /> #AIL ENVIRONMENTAL - sorlol No c?-5 ,16- - Ll� <br /> ENGINEERING WEST —�`I , „ Pagc>,� of <br /> Silo Address. <br /> 2494 Fremont St , Stockton, CA Analysis Required LAB: 9.c <br /> 441CM.204-7524-1806 d Ct1rcKotff(1)1oxofity cr/or WIN AlouuOnldl <br /> I l, <br /> Shell Englnoer, Phon© No (510) G W 1.laalodny ❑ "$I a4 hour ❑ <br /> 139 <br /> Karen Petr na Fix -9239-3541 \ t>f.lnr.olludlon C) 4441 1lhouir ❑ <br /> Consullanl Name & Address. O <br /> $g g$ Sal Clava /t1>, <br /> g6nRoTech grsAvev;c an Jose, CA 95112 ?C Wd.t po�nl C] t441 1S days ❑INormop <br /> Consullanl Conlacl, Phone No . {408) " w Clnulfy/O1opo,al ❑ 111 a*.t [] <br /> Francis THie �' uN/Akka 'or1 a ❑ uta <br /> Y <br /> 1FG'XT0T3-7771 6 "m a Ln Hort lfefuy lab <br /> Commanls. R no <br /> wat.tRoom aslye 14f1 tOOnattaesuaof <br /> O/ll ❑ 024141 h" IAt <br /> v O O O l <br /> _ a H V ofhot <br /> z <br /> ❑ <br /> Sampled by. _ "`� ,.� `n o n o CN y. <br /> E, m °' a ° N �, UST AGENCY: <br /> a o a N O <br /> Prinled Name Lr, yti ✓ A � a) o -6 o <br /> SLI — n n M SAMPLE <br /> Sample ID Dale Sludge Sall Wolor Alf No of x I - a c E MA7ERlAL CONDITION/ <br /> cents ;L ,n j ;� ty Q 4 U DESCRIPTION COMMENTS <br /> Rellnqulfhed by (ftnature), Ninlad Noma Dola 24 Roca d (slgnol�a Pt nlad Na00—", Q� ' <br /> fling <br /> 8elfnq d fiy star �iy> Nintad Noma Onto , oc Nad (slanoture) Ptlnlad Nama pm <br /> T1rn Arno <br /> `allnq dthsd By Wpno Ptlnlad 1lotna (sem lUnnitr ) Ptlnlad Homo orale J J� <br /> Ilrna //✓✓ I d f'k/IA/z0 f1ma. C, c <br /> i- <br /> Tllf�l�iAS2HbTS�B�L.tri�T..F3t2YIQt`dSQP�C.Q�11[l3�ll�lt!_� r 1 T4L�Y5YlTWClY41�F 9��E�� <br /> r..o a w r.r <br />
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