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ARCHIVED REPORTS_XR0006241
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_XR0006241
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Entry Properties
Last modified
4/10/2020 5:05:46 PM
Creation date
4/10/2020 3:05:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006241
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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atle EXXON CO ANY, U.S.A. <br /> I'0 Box 4415, Houston, TX 772111-4415 <br /> IHcoRPaAArEo CHAIN OF CUSTODY <br /> THE ASS WRANLI Of 0UA11TT Novato, CA, I I Digital Drive, 949.39 ❑ <br /> 415 883-6100 Huntington Beach, CA, 5702 Balsa Avenue, 92649 <br /> (7 14) 892-2565 <br /> Consullant's Name .n ✓� Page �^ of <br /> Address C 'NtA- Site Location <br /> k1-. <br /> Pro ec t# Consultant Pru i.ct #-53 373 -+Z-0 Z 3 Consultant Work Release# Dq 300+ r6 <br /> Project Contact Phone # 3 t) Z8'3)t777 Fax# Z -3 "654 Laboratory Work Release# <br /> EXXON Contact • laIu"I(e r 19- EE ❑ C&M Phone # rJ" #o I}L-rr7l(I FIX q EXXON RAS # <br /> Sampled b ( ant} J b�1r� t �1 .+� Sam It is St nature ev.1 r <br /> Shipment Method (.cp— C-Af r(" ( Cr Air Sill # <br /> Shipment Date <br /> TAT ❑ 24 hr El48 hr El72 hr Q-- tandard (5 day) ANALYSIS REQUIRED Sample Condition as Received <br /> TLrnpLrature° C <br /> 0 <br /> CoolLr# <br /> Inbound Seal Yes No <br /> Outbound Seal Yes No <br /> Sample Description Collection Matrix 1'rsv #of 11'\C1 <br /> Date/Time Sall/Water Cow Salill)le.# <br /> a a a. 0- <br /> 94a COMMENTS <br /> 1- w f-. to E- rsl <br /> !ww (13 }- 3 f(&•0 n <br /> '715'05,77— <br /> MW II X41 <br /> Mw 12. MMA7C <br /> 164� AD r� X <br /> P.A,J L rb 3 A ,� x <br /> aAIJ 3 67( <br /> R�.s�r ►So q 3I t I <br /> V- 100 .111 <br /> Relinquished by/Affiliation gate TltlltAcc <br /> by/AllilE t n Dye Time Addlnollal Comments <br /> Disir il%6 W11119 011gLn 11 10111W I xaIlll I'rnk lab Qit&nrud-Consultant field Stull <br />
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