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ARCHIVED REPORTS_XR0006165
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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PR0540885
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ARCHIVED REPORTS_XR0006165
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Entry Properties
Last modified
4/10/2020 5:01:06 PM
Creation date
4/10/2020 2:33:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006165
RECORD_ID
PR0540885
PE
2960
FACILITY_ID
FA0023381
FACILITY_NAME
FORMER EXXON SERVICE STATION NO 73942
STREET_NUMBER
4444
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11022017
CURRENT_STATUS
01
SITE_LOCATION
4444 N PERSHING AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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1 <br /> HOUSTON LABORATORY <br /> a66o INTERCHANGE DRIVE <br /> HOUSTON,TEXAS 77051 <br /> ® (713)660-0901 <br /> • EXXON Company U S.A <br />' Certificate of Analysis Number <br /> 00030103 <br /> Report To ETIC Engineering Inc Pro ect Name 000229-ICI <br /> i John Ortega Site 7-3942,19909830 <br /> 144 Mayhew Way <br /> Site Address 4444 N Pershing Ave <br /> Walnut Creek Stockton CA <br /> California PO Number EWR#20002534 <br />' 94596. State California <br /> ph (925)977-7914 fax (925)977-7915 State Cert No <br /> Fax 7o ET1C Engrneenng Inc <br /> Date Reported 3116100 <br /> John Ortega fax (925)977-7915 <br /> Client Sample ID Lab Sample ID Matrix Date Collected Date Received COC ID HOLD <br />'MW-2 00030103-01 Water 2129100 1 01 00 PM 313100 10 00 00 AM El <br /> MW-4 00030103-02 Water 2!29100 11 52 00 AM 313100 10 00 00 AM <br /> IMW-5 100030103-03 Water 2129100 10 50 00 AM 313100 10 00 00 AM - <br /> MW-6 - - - 100030103-04 Water -- 2129100 11 17 00 AM 313100 10 00 00 AM - _- ❑ <br /> MW-7 00030103-05� Water 2129100 11 35 00 AM 313100 10 00 00 AM <br /> MW-8 -_ - -- 100030103-06 Water 2129100 1 24 00 PM 313100 10 00 00 AM [] <br /> 9 - - 100030103-07 Water 2129100 12 23 00 PM 313100 1 0 00 00 AM I [] <br /> 0 T 0003 3010 08 1Water 2129100 11 07 00 AM 3!3100 10 00 00 AM El <br /> MW-11 X00030103-09 1Water 2!29100 11 53 00 AM 313100 10 00 00 AM-_I_ <br /> MW-13 - 00030103-10 Water _ 2!29100 10 31 00 AM 313100 10 00 00 AMI El <br /> 1IW-100030103-11 Water 2129100 1 24 00 PM 313100 10 00 00 AM -11 El <br /> RW-1 - - - - 00030103-12 Water-- 2129100 2 26 00 PM 313100 10 00 00 AM - � - El <br /> RW-2---- 100030103-13 Water 2129100 1 54 00 FM — 313100 10 00 00 AM E] <br />' UVBMW-1 - J 100030103-14 Water T 2129100 2 26 00 PM 313100 10 00 00 AM <br /> UVBMW-2 100030103-15 -Water _ -_ 2!29100 2 15 00 PM — 313100 10 00 00 AM <br /> Trip Blank 100030103-16 Water- 1 _ 2129100 T _313100 10 00 00 AMT —� ❑ <br /> {�L�'� - - -- --- ------ -- ----- - - - -- - - -- - -3116!00 <br />' esl Son1a Date <br /> Senior Project Manager <br /> Joel Grace <br /> Laboratory Director <br /> 0 Ted Yen <br />' Quality Assurance Officer <br />' 3!16!00 2 45 50 PM <br />
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