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ARCHIVED REPORTS_XR0006341
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006341
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Entry Properties
Last modified
4/7/2020 1:04:02 PM
Creation date
4/3/2020 4:27:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006341
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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❑ Yes <br /> Fax copy of Lab Report and COC to Chevron Contact ❑ No ChOI --Of—Cusfod y—ROC <br /> Chevron raclllly Nurnb.r ,-- / Chevron Conloot (flarno) Isrclff <br /> rooli ty Addro„ (Phan.) I a <br /> Chevron USA. Inc. cy <br /> 'P 0 BOX 5004 ConruKant Pro]oct llumbar, _ IV(0-6v Labomtory ?torn* 07-67C <br /> ,an Ramon, Gl 94583Coneultont ?tame---Si Prra T:nv1 rnnMan &J___SnruyGp,• ILaborulary aa N <br /> A.I. . umbsD44*2o <br /> W (415)642-9591 Addrove P.D. 13ox_2546.,_.Mortinc-7 . CR :ample. Collected by (r me) Jar Czlrter <br /> Project Contact (Horne)� rrlMnlrsi 1 n r. Coll.ollon p 1 / <br /> (Phone)7 Q--12 11Q (raa Humber), X17 Q—7 D� .lonalure <br /> Ano yvo. To R. Perform.d O.�G <br /> Art y i Do No+ B+t <br /> YE-L13 Same <br /> r 'moo Ivo a L �4 <br /> ri �f n 1✓ +n in 01 �`r', a � Yn j ilii ��s <br /> S r� <br /> ,R 9 X In 3r ►- F ir{ L b n,' Q.A eL'•• `� iS <br /> f `-' R.marSu <br /> 4 <br /> ✓ f�' -S <br /> NL J- D 1 'sa <br /> 12:1 <br /> Zt <br /> 7.1 <br /> � r <br /> I <br /> Retlnqul.hod Dy; gnotur.) Orponlrotlon p ./'llme 10.00 Reoelved M (Sl� lraltpole <br /> lury) orQanon 1 <br /> /lma to '(,ro Turn Mound TWO (Clrxte CTwtoa <br /> lnq lehed Dy (5lpnatu►.) Orgonlrotlan a(./Tlm.1cf Recelr►d Dy (Slpnalur.) otgonlratlah Dote/111ne 4A Ilre <br /> �r t,J C <br /> r <br /> Rdlnquhhed Dyalure) Orgonlralton Dat./n.. Rrd <br />
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