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ARCHIVED REPORTS_XR0006339
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_XR0006339
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Entry Properties
Last modified
4/7/2020 1:02:36 PM
Creation date
4/3/2020 4:27:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006339
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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EHD - Public
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Fax cop f Lab Report and COC to Chevron uontj&y u Ivo L�I1u111— UI�ZLt� «�iv`2 ��vVv� 41 <br /> Chevron Focllity Number �—T--- Ghevron Contort (Name) <br /> Faolllty Address (Phone). r <br /> Chevron U.S.A. Inc. Laboratory Name �ra? n <br /> Conaullant Project Number <br /> Po BOX 5004 Gettler-Ryan Loborotory Relsose Number 2— <br /> Son Ramon, 94583 Consultant Homo Fran <br /> LkCline <br /> _ <br /> 6747 Sierra C t Stet Dublin 94568. Samples Collected by (Name) <br /> SAX (415)542--9591 <br /> Addressz <br /> Project Contactito) - — Colleation Data <br /> (phone)ne) 551 --7555 Fox Number) 551-7888 Signature <br /> ( <br /> Analyses To Be Performed DO NOT BILL <br /> TB—LB ANALYSIS <br /> d� o _ <br /> .O d Z gin pp 0 - Tv <br /> 5=r0-),L??F9 <br /> tltl bb G <br /> Z UUP 1+ *p pU) <br /> E 1 1 E Ep �2 � x� ` aaoo� � r'r Remarks <br /> Y N F" )✓ 19 <br /> 2 U) 9° <br /> Mw_ 7 07 3 G 209 <br /> 12� lG � <br /> w_ 5 b5 t3c� <br /> G 0 <br /> 6 13,2,5 <br /> � m <br /> ze--qu <br /> yrs <br /> V1 l <br /> 1-H <br /> 5I lure 3ee <br /> anixotlon Data/T[ma�Q° Turn Around Time (Clrcle Choloo) <br /> Rsllnqulshed (5 ature anliatlon Dote/fte R-.[Y ey ( 0 } <br /> I � VQ/# S 24 Hrs <br /> Or nlxation Cots�Tlrn• <br /> 48 Hre <br /> R:II�-quit By (Sign ) Organlzallon Dat•/'1Tme R ceNsd By (Signature) - b <br /> s DateCiimeN/i� Contracted ,i � <br /> Or anixatlon Dote/Time R•oloved For ry By (Signature} <br /> R�Inqulrhed By (Slpholun} 9 �,/2 <br />
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