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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WELTY
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35500
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2900 - Site Mitigation Program
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PR0508043
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Last modified
5/27/2021 2:02:02 AM
Creation date
5/24/2021 4:13:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0508043
PE
2960
FACILITY_ID
FA0007905
FACILITY_NAME
CHEVRON PIPELINES
STREET_NUMBER
35500
STREET_NAME
WELTY
STREET_TYPE
RD
City
VERNALIS
Zip
95385
APN
25526003
CURRENT_STATUS
01
SITE_LOCATION
35500 WELTY RD
P_LOCATION
99
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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Chain-of-custody Record004227 x�:s "ate.. . <br /> Project No.: ooh ANALYSES REMARKS <br /> Samplers(Signature:) 1 0 <br /> `o O Additional Comments <br /> CL <br /> w a <br /> m m o m m o ') CC! & �n TPP4 w;r%- d w <br /> N <br /> 90 <br /> ern ° X � �E 8 (D o <br /> Cate Time Sample Number a a ¢w <br /> wLL w= wm w w� wU) ui �� LL a S i <br /> r.Za.�4 13:ss -z- az X X Ix x I 1w 'V Y/,v <br /> fh=3ri Pw-Y-05 x Jt X I x x Itow 'l Y <br /> 15"40 Hw-'5-05C-L X w nl Y/w <br /> / <br /> TriP BJw►k x w A.' y Y z <br /> � z-at-cz <br /> x <br /> laboratory, Turnaround Time: Results to: <br /> >- Totat No. of Containers } <br /> rr tc{+v1.ir7 d v w f k ! �� o <br /> Relinquished by(Sign re): Cate' Relinquished by (Signature)', Date: Relinquished by(Signature): Cate: Method o1 Shipment: r <br /> Printed Named ! `L-✓C� Time: Printed Name: Time: Printed Name: Time: Laboratory Comments and Log No.: <br /> Company f101 Company: Company: <br /> Receiv (?�(� Cale: Received by: Dale: Received by: Cate: <br /> Prin�ame: Printed Name: Printed Name: � <br /> Time: Time: Time: // �—Geametrix �oneultente <br /> Company: 9' Company: Company: 2101 Webster Street, 121h Floor Oaktand,CA 94612 <br /> L r� Phone:510-663.4100 Fax;510-663-4141 <br />
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