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ARCHIVED REPORTS_XR0007080
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_XR0007080
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Entry Properties
Last modified
4/10/2020 4:27:56 PM
Creation date
4/10/2020 3:08:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007080
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
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EHD - Public
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i 3 <br /> CHAIN OF CUSTO ORD 90325 <br /> Nashville Division Phone 61 6-0177 E*pnM bll <br /> TestAmerica 2960 Foster Creighton Tall Free B00-765-0980 <br /> Y C O R R O R R T E 9 Nashville,TN 37204 Fax 615-726-3404 <br /> Report To TED MOiSE <br /> Consultant Name ETIC ENGINEERING <br /> Invoice To Jennifer Sedlachek(EXXONMO8IL TM) <br /> Address 2285 MORELLO AVENUE <br /> CitylStatelZip PLEASANT HILL, CA 94523 Account# 10236 <br /> PO# 4504349422 <br /> ExxonMobii Project Mgr Ted Moise <br /> Telephone Number (925)602-4710 EXT 23 Fax No (925)602-4720 Facility ID# 7-39x2 <br /> Sampler Name (Print} ___7_ .� f Site Address 4444 North Pershing Avenue <br /> Sampler Signature City,State Zip Stockton,California <br /> Preservative Matrix Anal ze For <br /> m y, <br /> m � m <br /> CL CL m <br /> Q } m m } a <br /> m QE Cr <br /> cyu d a C u Z2`a' m o �o m p H <br /> U o LLa a c7 N y m m m a J = 12 <br /> CL m T v s m c x rn y Q 0 Lu Q Q N I X <br /> w E o 'L° o z vo c�nN m Q z i ~O 2 � ¢ v~iii <br /> p - z C7 L) LL x x z x Y c7 o in �i o <br /> Sample ID l Description — y <br /> 2_0 <br /> 1:93 q ,S -LI 01 /zclq i <br /> 3 P1 - l `VW/q II too4 3 0 <br /> W14 1WI <br /> TPl .t3 -.13'51 <br /> p OZ& 1" <br /> /2j 02 <br /> J- <br /> 1/11m no <br /> , 5 T ZU' mqsa ora ory ammen <br /> Special Instructions GLOBAL ID#TO600101278 EDF FILE REQUIRED Temperature Upon Receipt <br /> *USE SILICA-GEL CLEAN-UP Sample Containers Intact? Y N <br /> VOCs Free of}{eadspace? Y N <br /> Relinquished by <br /> Date Time Received by Date Time <br /> KA al lzz/o q j q oD <br /> Relinquished by <br /> Date Time Received by TestAmenca Date Time <br /> �0 <br /> __._, en.�,rn,o,irk�rnne nr,11. n%74Qd9 rO Yk <br />
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