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ARCHIVED REPORTS_XR0011393
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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4445
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2900 - Site Mitigation Program
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PR0541263
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ARCHIVED REPORTS_XR0011393
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Entry Properties
Last modified
4/13/2020 3:03:12 PM
Creation date
4/13/2020 2:37:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011393
RECORD_ID
PR0541263
PE
2950
FACILITY_ID
FA0023640
FACILITY_NAME
PERSHING GAS FOR LESS
STREET_NUMBER
4445
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95210
APN
11018006
CURRENT_STATUS
01
SITE_LOCATION
4445 N PERSHING AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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i <br /> ELL OIL COMPANY 7CHAIN OF CUSTODY RECORD Date: Z-ld-e(B 1 <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Soria] No. 96Q Z In--14 7 Page / of 1 <br /> 5rlo Address <br /> 4445 Pershing Ave. , Stockton, CA Analysis Required LAB: <br /> ti�1lCN. <br /> 204-7524-2408 1 clitCxONE(1)sox ONLY crtoT TURN AROUND TIME <br /> Shell Englnoer Phone No (510) cw WrIlorinp 0 uJl 2.1 hours ❑ <br /> Alex Perez 675-6168 $16InVoIllpolon ❑ au) <br /> Fax It 675-6172 al haws ❑ <br /> Consullanl Nae & Address, SoRCIarIVy/Dlrpolal ❑ "42J] <br /> Blaine Tech Services, Inc. 16dayl ®1Nmma0 <br /> to <br /> 1680 Rogers Ave. , San .lose, CA 95112 x WOW <br /> L11 Ciao a6y/OLpolal � Olhet <br /> Consultant Conlacl Phone No (408) n d F- <br /> Fran Thi.e 573--0555 °� cv ��lµRomarSyr ❑ Jas1 ` <br /> Fax tl573-7771 � � ,� `a Non Naury tab a, <br /> Comments. aQ �p War atR�m at soon as u. <br /> /0 t11 r� �1 O Jt M ❑ 4iiJ 24/41 hi lAr <br /> � (/�l�}/�f�J`r`/ CEJ U 'am, atm Z OI h.r <br /> CN <br /> �Co d) UST AGENCY: <br /> Q Q rQ O � N a' <br /> Prinlad Noma f�L Fc a as C ° c o SAMPLE <br /> No of x h w A d ° E CONDITION/ <br /> Sample ID Dalo Sludflo soil water Alr cants ;_ j rj Q a U DESCRIPTION COMMENTS <br /> owl <br /> AtAl ,Ito 04 x �X _ <br /> Re11n u1s a By(sig'laluro) Prinlod Ngma Dnlo Rocoly� (il47Aa uro Prinlo artla// Dal <br /> ee <br /> 6a,&741 1 '41- cn�'L( Tirno — V i <br /> 4ollnq d o), Pclnlod Noma Dale oc ad (slpnn# fldl� <br /> Tlmo Tlma <br /> A ulshad By(slpnalure) Printed Noma Qalo �u <br /> Rocolvoc�i� O a �)�r Prinlod Name. Data.-'2m <br /> Tlo f/ l - Y � { Tlmu <br /> FLADQRAIQRYMUT PRQVlDA=£Y-QL1tll3,i1-AIH Of CUSTODY bull UAN12 REUL15 <br /> mw EA rm 7, <br />
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