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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
Tags
EHD - Public
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M .. ..� � � 39�3� l_ <br /> CHAIN OF CUSTO CORD <br /> (It erica Nashville Division Phone 6 6-0177 E*(pnMobifTest2960 Foster Creighton Toll Free 800-765-0980 <br /> M C p P 9 O R F T!P Nashville,TN 37204 Fax 615-726-3404 <br /> Consultant Name ETIC ENGINEERING Report To TED MOISE <br /> Address 2285 MORELLO AVENUE Invoice To Jennifer Sedlachek(EXXONMOSIL TM) <br /> Account# 10236 <br /> citylStatelzip PLEASANT HILL,CA 94523 <br /> PO# 4504349422 <br /> ExxonMobil Project Mgr Ted Morse <br /> Telephone Number (925)602-4710 EXT 23 Fax No (925}602-4720 Facility ID# 7-3942 <br /> Sampler Name (Punt) � . � Site Address 4444 North Pershing Avenue <br /> Sampler Signature City,State Zip Stockton,CaNfomia <br /> Preservative Matrix Anal ze For <br /> d T <br /> m .7 Ip <br /> Q 13�; <br /> W C NN�Ci m EW tJ3 U v p° _ c rn y c? w a Q � y 0 x <br /> ro E o o 6 z m 2 " � a o � = x a � 7Q � mSample tD I Description0 H z O U U. zc7 o in u� o a a a o 2 to LL <br /> D95� <br /> 0 �5 - I ' [o <br /> 2- <br /> 17 Ix <br /> 2 7Ds-7-tI 1=12DRllx <br /> T1Pa O�P.s-a3' <br /> T_Pa a� .5Y a5� fS <br /> T aCo,5 <br /> pZ '3 3 — 5� a ora ory ommen <br /> Special Instructions GLOBAL ID#T0600101278 EDF FILE REQUIRED Temperature Upon Receipt <br /> *USE SILICA-GEL CLEAN-UP Sample Containers Intact? Y N <br /> VOCs Free of Headspace? Y N <br /> Relinquished by <br /> Date Time JReceijved Date Time <br /> 7 lk �po 91z21I)�f lYaa a?KRelinquished byDate Time ReceTestAmerica Date Time <br /> ?�O <br /> r,1Pmiar1c1739421PUBLIC12004 DnllinciV3942 COC As <br />
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