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ARCHIVED REPORTS_XR0006202
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PERSHING
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4444
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2900 - Site Mitigation Program
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PR0540885
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ARCHIVED REPORTS_XR0006202
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Entry Properties
Last modified
4/10/2020 5:15:50 PM
Creation date
4/10/2020 2:43:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006202
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
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SJGOV\sballwahn
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EHD - Public
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E�ONMMQFY, �.A' <br /> hesapeake Dr <br /> Redwood City,CA 94063 P O Box 2180,Houston,TX 77002-7426 <br /> (415)364 9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant's NameGrr�� j Page of <br /> Address /g C- Site Location <br /> Project# 3?Cl Consultant Project C5-1.5 3 / cxConsultant Work Release# 3Iy <br /> Project Contact Y�2,1 Q Phone #. 1(c5 S 0 Laboratory Work Release# <br /> EXXON Contact G�� [ ��_ Phone# EXXON HAS# U <br /> Sampled by (print) <, t _ Sampler's Signature c <br /> Shipment Method Air Bill # ° <br /> I <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr �-M�a—n—d7ard (10 d ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix #of Sequoia's TPHIGas TPH/ TRPH Temperature <br /> Date Time SodlWaterlAir Prsv BTEXt 'Diesel s M <br /> Description Cont Sample# 8015/ EPA 5520 Inbound Seal Yes No <br /> 8020 8015 Oui6ound Seal Yes No <br /> O <br /> N <br /> 0 <br /> fl <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br />
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