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ARCHIVED REPORTS XR0001428
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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1034
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3500 - Local Oversight Program
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PR0544196
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ARCHIVED REPORTS XR0001428
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Entry Properties
Last modified
2/27/2019 3:15:53 PM
Creation date
2/27/2019 1:53:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001428
RECORD_ID
PR0544196
PE
3528
FACILITY_ID
FA0006536
FACILITY_NAME
WELLS FARGO BANK PROPERTY
STREET_NUMBER
1034
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
94805
APN
23517127
CURRENT_STATUS
02
SITE_LOCATION
1034 CENTRAL AVE
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Q 680 Chesapeake Drive•Redwood City,CA 94 415]364 9600 U 18939 120thAve,NE,quite 1ui`-Duma,, "m �w11 + ' - <br /> ❑ 819 Striker Ave,Suite 8-Sacramento,CA 958 (9 t 6)921 9600 ❑ East 11115 Montgomery,Suite B SpOkarte,WA 9920)924-9200 <br /> UNOCAL ,Raw <br /> ❑ 404 N WigeE Lane Walnut Creek,CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy,Su]tO 110 Portland,OR 97222-(503)624-M <br /> ' ' <br /> Consultant Company GW' . ;ff} ln�•. X`�f. �.- �L'v`�f'7 Project Name �tt`�,, c}^�/ }� 6)/Z <br /> •^�"' C'' "•'f -� •%�_ err UNOCAL Project Manager A// ,�'�, �, t .4 <br /> Address 6?4�7= <br /> City tt 1711 State Zip Code ftp r AFE # <br /> r _ m <br /> Tete hone+ 1 C) !- SSS FAX#k' 10 '�s�- RF `- Site #, City, State e).Y1(_Q„d,�� f' �a /r Ck c C U <br /> QC Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A � <br /> Report To,be afrn-. L• �<?re1r �r Sampler sI, r-f�1-L 7�i�i, �n CL <br /> Turnaround 1D Work Days ❑ 5 Work Days ❑ 3 Work pays ❑ Drinking Water Anal ses Requested <br /> ❑ 2-8 Hours Waste Water ' <br /> jll <br /> Time ❑ 2 Work Das ❑ 1 Work Da ❑ �i <br /> CODE: ❑ Misc ❑ Detect ❑ Bval ❑ Remed ❑ Demol ❑ Closure ❑ Other '1 � � <br /> Client Date/Time Matrix # of Cont Laboratory t + t�~ - �� Comments <br /> Sample I D Sampled Desc Cant Type Sample# <br /> r <; 1� c� 1 tri► ; >' TP�{.� <br /> I <br /> 2 CIS <br /> 3 <br /> 6 <br /> 7 <br /> 8 <br /> 9 0 <br /> Y <br /> 4 <br /> 10 0 <br /> .0 <br /> ca <br /> f 1 <br /> ' <br /> Date �` <br /> 1!' ' Time ` Received B Date �( e�/r Time `� <br /> Relinquished By L <br /> Relinquished By Date Time Received B <br /> Date Time L <br /> Relinquished B <br /> Date Time Received By Lab I Date ITime <br /> , <br /> Were Samples Received to Good Condition?O Yes O No Samples on Ice? i_JYes Q No Method of Shipment Page^of <br /> To be completed upon receipt o report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑ Yes i�No IS no, what analyses are still needed <br /> 2) Was the report issued within the requested turnaround time? ❑Yes Q No If no, what was the turnaround time <br /> Approved by <br /> _Signature - Company Date <br />
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