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ARCHIVED REPORTS_XR0006380
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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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_XR0006380
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Entry Properties
Last modified
4/7/2020 1:09:35 PM
Creation date
4/3/2020 4:49:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006380
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 copy of Lab Report and COC to Chevron Contact: ❑ No Chain—ot—uumay- NeCora <br /> 119-6171 Chevron Contact (Noma) MR. BOB COCHRAN <br /> Chun Num 6633 PACIFIC AVE. , <br /> PeeRily AddersSTOCKTON,CA. (Phond 925 842- 9655 � <br /> Chevron Producls Co. 385121 Laborato Name SEQUOIA ' 7 <br /> P.O. 80X 6004 Consultant Prof€et Number <br /> Laboratory <br /> Consultant Hama — Laboratory Service Order <br /> San Ramon, CA 94583 6747 SIERRA COURT, SUITE J DUBLIN CA 94568 Laboratory Service Code <br /> FAX (925)842-8370 Address 1 somptes Collect• (Noma) <br /> Project Coolaot (Noma)DEANNA L. URDTNG , <br /> { (Ph. 925-551715551r. "ber) 925-551-7899 signature <br /> State Method: M CA ❑ OR ❑ WA ❑ NW Series ❑ CO ❑ UT IDAHOI Remerks <br /> F <br /> P n r'►T <br /> F2,60 QA All <br /> 1 ; <br /> Is se <br /> �Up V Q g <br /> � + <br /> to + <br /> Lab sample No. <br /> I U Lo <br /> i 11 I <br /> enw <br /> i 07 <br /> � al <br /> [0 <br /> -rt' /6 <br /> rn L4, ( :' r <br /> 4,3 <br /> tie omiou" Dat: i- Received By (Signature) orgonlrollon Date/rIms iced Y/N Tsurn Around TI as (Girder Choir) <br /> ReM sMd By (signs } o►a fir'3 S <br /> y1i G-R jINC. 24 Mrs. <br /> Roommdehed By (Slonoture) Orgerhation Date/Time Reeaked By (Signature) organization Date/rime ked Y/N 48 Mrs <br /> € 5 Days <br /> i <br /> 10 <br /> R,pequlshed By (Slo OrQanixalion Data/Tlme Reelwad for Laborotary By (Sign Dals ma Iced Y/N As l;oniracled <br />
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