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ARCHIVED REPORTS_XR0008423
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WATERLOO
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4344
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2900 - Site Mitigation Program
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PR0541976
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ARCHIVED REPORTS_XR0008423
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Entry Properties
Last modified
10/10/2020 10:31:20 PM
Creation date
7/9/2020 9:36:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008423
RECORD_ID
PR0541976
PE
2960
FACILITY_ID
FA0024090
FACILITY_NAME
CHEVRON FACILITY #9-9840
STREET_NUMBER
4344
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
10102157
CURRENT_STATUS
01
SITE_LOCATION
4344 WATERLOO RD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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Yes <br /> Fax copok Lab Report and COC to Chevron Contact *No Chain-of-Custodyoecord <br /> Chevron Facility Number 9-9840 Chevron Contact Name) Brett Hunter - <br /> Chevron Products Co Facility Address 4344 Waterloo Rd , Stock-ton (Phone) (925) 842-8695 <br /> P O BOX 6004 Consultant Protect Number Z 3 Laboratory Name Sequoia <br /> San Ramon, CA 94583 Consultant Name Btaine Tech Services, Inc Laboratory Service Order 9144488 <br /> FAX (925)842-8370 Address 1680 Rogers Ave , San Jose Laboratory Service Code ZZ02790 <br /> Protect Contact(Name) Scott Boor Samples collected by (Name) <br /> (Phone) 408-573-0555 (Fax) 4 8-573-7771 Signature <br /> State Method Ef CA ❑ OR ❑ WA ❑ NW Se ❑ CO ❑ UT Remarks <br /> 0 0 <br /> t ° U <br /> a Q V g Tui n m u <br /> � o Q U m - <br /> 4o Z m D <br /> ° <br /> `m ¢U 2 + ap C7 u� ° rn °1 m 0. c Z Z EL \ <br /> Zi M E + a ca <br /> CL X N W N 5 - a(D 2? rn� r-- m c'15S 2iv :° V ti N ; N r s <br /> m a i9 ii m F- o (- o a0 xN 0 � N xN - `n � '0 ti0 1- 40 a 0. Lab Sample No <br /> z 2 u3� rn ❑ to o in �- `� O °.° o_ `� 0- w O � 2 V co m �' M 1-- <br /> U) A <br /> p 3 S <br /> i 2 � • <br /> Resin hed By ignaty ) Qrganizatlon Dateime r R ed <br /> B�y( r� Organization DaG ime Iced YIN Tum Around Time(Circle One) <br /> (� 24 Hrs <br /> m <br /> o in i ed BXi($igna r Organization a e ime Received (Signature � Orga anon DatelTime /� f� Icad YIN 48 Hrs <br /> 5 Days <br /> 0 10 Days <br /> Relinquished By(Signature) Organization Date/Time Received Fit (Sinature) Daterrime Iced YIN <br /> gA Contracted <br /> 0 <br /> Oil <br />
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