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ARCHIVED REPORTS_XR0002114
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0001333
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ARCHIVED REPORTS_XR0002114
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Entry Properties
Last modified
1/29/2020 11:43:55 AM
Creation date
1/29/2020 11:21:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002114
RECORD_ID
PR0001333
PE
2950
FACILITY_ID
FA0004067
FACILITY_NAME
CHEVRON SERVICE STA 9-4183 (INACT)
STREET_NUMBER
236
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03710028
CURRENT_STATUS
02
SITE_LOCATION
236 N HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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L...! 1 %10 <br /> .Fax -co&f Lab Report and COC to Chevron Con . ❑ No Chain—of—CustodRecord <br /> Chevron FodUty Numbber_��_- _ Chevron Contact (Name) 3 7r <br /> Fooility Addres%�4i4+M L� / GOD/ , C�4 lo) P <br /> Chevron U S.A. Inc. (phone). <br /> Consultant Protect Number —q1 F3_ „. ....., Laboratory Name ) ��CxOl/q <br /> P 0 BOX 5004 �{ i'ee N 1"Tvn/Z3 �C.r�M g,Jjf -- - <br /> San Ramon, CA 94583 Coneultant Namep , ,, /� Laboratory Release Number <br /> Address ZLI C 'S�(l� __1f Ae' 04IC4,4AO, � Samples Collected 6 (Name). <br /> FAX (415842--9591 �- � y J -L--_ <br /> Project Contact (Name) G �1L���y Collection Date I g <br /> (Phonejf'>_ 65¢ � (Fax Humbert 1007 ell Signature <br /> Ana"" To Be Performed <br /> � <br /> � �, <br /> _ <br /> o <br /> 4 1 a � �$ � � <br /> C11 XR <br /> z� $ i-5o` a'$ a"d � Rema <br />� f S � /7F�L � ►� �' ,x,r y <br /> S �%q-? <br /> w <br /> S D �7r1� <br /> oliol SIC, <br /> T,T <br /> r <br /> y Relln By (Slgnerure Onganlzatlon Dote/ ffno R"Oved By (Signature) Organization Dote/Time Turn Around Time (Circle Cholas) <br /> Rellnqulehed By (Signature) Orgonlzallon /time Recelved By (Signature) Organization Dote/*tlrne <br /> Do" <br /> 10 <br /> t0 Days <br /> RelingWdW By (Signature) Organisation Date/time Realev or Lobo tory <br /> By (Signature) Dot/e/TI c� <br /> °�� M Controoted <br /> i. i� <br />
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