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ARCHIVED REPORTS_XR0011975
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WILSON
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130
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3500 - Local Oversight Program
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PR0545892
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ARCHIVED REPORTS_XR0011975
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Entry Properties
Last modified
7/22/2020 2:55:20 PM
Creation date
7/22/2020 2:24:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011975
RECORD_ID
PR0545892
PE
3528
FACILITY_ID
FA0003601
FACILITY_NAME
ARCO STATION #826951*
STREET_NUMBER
130
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205-5561
APN
15502064
CURRENT_STATUS
02
SITE_LOCATION
130 S WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Chain of C118(i Record ]n at Z <br /> p <br /> I'i uJect Name: ARCO 546'1 OW Quarterly in lila I11nc V J Ica!}BI'I)U/A It Regfou/Ell fin SugnicW: pp>Mmailcas>west Conal>Relnll>WCBU>CA 311 4110 1 Ilne' f r` 1 cm �j <br /> >Nolhem>6400>111storlenK Ay(un,lhlully <br /> Stateot LeatlltegulatolyAge11cy1 Son JonquhOlunlyCnFliongimilal 100210111DOPI MelcullihialcnII}venh <br /> lteynesled Due Dote(trim/d(l/yy)t 11WIMIS11COL1. I)lrcetiott <br /> Lab Name Sequoia FRIAR l ueilil No: 5169 t'Mnvullnnlli ultlhli lin: SIl III11Y I!!i'irUI1lMCntal,Inc <br /> Address 885 Jarvis Drive 1111/Alt I'ticibly Address 130 S Wilson WuY,SWAMI,CA 95205 Additm: 3330 Comelun Park Drive,Suite 550 <br /> Morgan Hill,CA 95037 Site LnYlmi N/A C'alneiutt I'll rk,CA 95682 <br /> Lab PM Lisa Race Calit'ornin Global IU No- 10607700888 t.ullal,I1,111V 'Mulrnctur 1'lo ei.l No 05469 <br /> Tele/Fax 408 776 9600/408 782 6308 LOW Project No, GOMP-0002 Luu4ullnn[Il tnilractur PM, Jay Johnson <br /> 13P/AR PM Contact Paul Stipple Provision or RCO11: Provision I cic/I ox. 530 676,60001530 676 6005 <br /> Address P 0 Sox 6549 PhaseMs. 04-Mot}/ltemed bX Natural Attenuatim Report I Xpe Rt qC Level. Lcvcl I with EDI' <br /> Moraga,CA 94570 Sub Phase/Task 03-Attar tical 11 Imill I DO It}: Doli a Yea(almscolp com <br /> eldFax 925 299 8891/925 299 8872 Cost L'lenteW 05-Subcontincled Costs 11juvoke lu: Atlantic Riellf ell com any <br /> Lab Bottle Order No Mntrix I Preset va(ive Requesled Anol)xh <br /> N�'L 6(� p <br /> item ° Sn, a 9Sn _ tint Ic Point Ln i and <br /> NSample Desci Iptron � A � � laahui 0101 y No. <br /> t,.. <br /> e � a ,^ � Ulllm(i1t5 <br /> O <br /> 06 <br /> O <br /> 3 ¢ z° x x cu <br /> 1. HO <br /> le- <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name et Jf I 0112 We Ihne Arc led II /Allillelion Date Tiroe <br /> Sara lei's Com pany <br /> Shipment Date7- <br /> Shi went Method �s <br /> Sht meat Tracking No <br /> Special Instructions <br /> r <br /> Custod Seals In Place Yes No I L-111 1)plank Yeq NvCoolOt '1'engrernlure ult lt0r.e!rl l I it r Monk Yes �_AQ <br /> Distribution While Copy-Laboratory J Yellow Copy- 111'IAllmitic Rialillolt1 Co, /Pink Coity-Cnlwtt lonl/C'outrnclor 111'(0f Ilei 4 10/1104 <br />
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