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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
Tags
EHD - Public
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0 Chesapeake Dr <br /> Redwood Cfly CA 94063 P 0 Box 216Q,Hou on,TX 77002-7426 <br /> (415)364 9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant's Name 6 - l N r"V Page of <br /> Address , Site Location <br /> Project # - 3c?Lt ��^ Consultant Project#. f s r/ f Consultant Work Release# <br /> Project Contact .� Phone # � Lt S Laboratory Work Release# <br /> T) <br /> EXXON Contact j..� Gu�,vSL� (�_ Phone # EXXON RAS# <br /> Sampled by(print) -�• odd t C to Sampler's Signature Cf49;�L ;�l S�oC L/-70 <br /> Shipment Method D 6—L,{ VZAL Air Bill # IL <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection a nx # of Sequoia's TPI UGas DiesTPHS M Temperaiura <br /> Date Time So�UWaterlAcr Prsv BTEXI 'Diesel S M <br /> Description Cont Sample# 80151 EPA 5520 Inbound Seal Yes No <br /> 8020 8015 Outbound Seat Yes No <br /> O <br /> X <br /> roN0I r 1�(; � " f �� rn <br /> O xray zE zll /� I(A o <br /> ro <br /> 0 <br /> Cr <br /> a� <br /> m <br /> L <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Addiflonal Comments <br /> YR t�Q c,l -- al��� _�� 5 s� <br />
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