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ARCHIVED REPORTS_XR0006322
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PACIFIC
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6633
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006322
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Entry Properties
Last modified
4/7/2020 1:00:44 PM
Creation date
4/3/2020 4:24:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006322
RECORD_ID
PR0528433
PE
2957
FACILITY_ID
FA0019174
FACILITY_NAME
CHEVRON SERVICE STATION 9-6171
STREET_NUMBER
6633
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741048
CURRENT_STATUS
02
SITE_LOCATION
6633 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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...,� v (-)"LaG1 u Ivo Chain—of—Cusfi �Recorc <br /> —. Chevron Faalllty Number <br /> 6633 Pacific Avenue Stockton CA chevron Contact (Name) <br /> Chevron U.S A. Inc. Faarro Project <br /> Hurn (510) 842-8695 <br /> Consultant Profeal Number 5122'$5 {Phone) i <br /> P.O. BOX 5004 Laboratory Name <br /> San Ramon, CA 94583 Coneunont home - 24390 <br /> b]�t] Sierra Ct, Ste J, Dubl Irl 9568 Laboratory Release Number <br /> FAX (415)842--959) Address Frank Cline <br /> Samples Collected by (Noma) <br /> Prot contact ENP�e) DeannaHardin Colleollon Data ��" 1 <br /> ]] 412 -- 76 <br /> (Phone551-7555) rFox Number) 551-7888 Signature <br /> � O <br /> e p Analyses To Be Performed <br /> a Fo a DO NOT BILL <br /> x e zo E T8-LB ANALYSIS <br /> 0 <br /> E <� c� zs 8 d 27, <br /> � S $ p pop J I <br /> E O n. �^ rN a4 8N $`� � pn' as rl �''.1 'w �! � i-L <br /> z' N r a s ra ETv 1 m ti U V-1 � 1H �I p � <br /> N O a. a .. F+ is <br /> v P ell <br /> En W � H Remarks <br /> 707 <br /> 1� <br /> /vow' 6 <br /> r /0k; S 95 3q,3 <br /> wW y 6 /U0 <br /> Rellnqulshed By (Slgnatyrre) Oryanlzotlon Dale me <br /> /T► oe By (Sig ature) Org nlzatlon Date me <br /> rn Tum Around Time (Circle Choloe) <br /> Rdln�uished lgnaturs) Orgonlzatlon Do s/71 e l0Cl Receive 5 oture Z# Hn <br /> ( g } Org nlzatlon Da a e Jt� 48 Nrs <br /> /r /z 6 Day* <br /> Relingti h• Slgpotu ) Organization ate mo Reoleved For Labors1 D <br /> y (Signature) I Date/'tlme <br /> -2:22f f. I�l Jos contr otad, <br />
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