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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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II <br /> CHAIN-OF-CUSTODY RECORD N° 0862 Date: ttjlt r4� Page of <br /> Project No.: pp ANALYSES <br /> O• DOt REMARKS <br /> Samplers(Signatures): { n Q , p <br /> I o N N vg P- c v' Additionat Comments <br /> S i3 o m V <br /> N S sc $a15 M <br /> L c C L n 3 0 <br /> f CL ID <br /> x C a a a =� n <br /> Q 4 QF Q Q <br /> Date Time Sample Number w w w m w w F- 8 o a i PI��S cat L <br /> 0{ u 9 q D5 .- - 10,5 x �0 51 M <br /> N 1 Vacs--$2bo <br /> x f <br /> b3 136 <br /> 2-30-0 0-0 3C X x <br /> x to C3co <br /> .0 X <br /> 06 - {.D x x x <br /> 7 osso 61 - x x <br /> 08 0 _ X X X <br /> (2 - l <br /> ( a oo taMx�7=z8,, X XIX IE <br /> 4 <br /> Turnaround time: Results to: <br /> �etvTotal No,of containers: 10 <br /> h <br /> Relinquished by(signature): Date: Relinquished by(signature): Date: Relinquished by(signature): bate: Method of Shipment: <br /> 11�Itj Q� Ex <br /> ,Printed me Time: Printed Name: Time: Printed Name: Time: Laboratory Comments and Log No.: <br /> _ f <br /> (� <br /> Company Company; Company: <br /> Received y signature): Date: Received by(signature): Date: Received by{signature}; Date: <br /> Printed Name: Time: Printed Name; Tme: Printed Name; Time: <br /> Gto� •. �Z t ad _ <br /> Com1a+ ' `n Company: Company: <br /> YK A <br /> GED MATRIX <br /> Fwns(Pf}•012 IPWm*d 12145) <br />
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