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EHD Program Facility Records by Street Name
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WATERLOO
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4315
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3500 - Local Oversight Program
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PR0545859
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Entry Properties
Last modified
6/3/2020 5:14:41 PM
Creation date
8/15/2019 11:31:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545859
PE
3528
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
02
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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❑CAISC(ENCE( LAB(LOCATION) Shell Oil Products Chain Of Custody Record <br /> _ } _ <br /> Please GfieckgppYopr`,jatd-8oz:- {?rint'Bilf;Topnta"ctiNarhe:" 1NCiD):N <br /> ❑5PL t —) ❑ENV.SERVICES < •..'•. .' ❑CHECK IF NO mc)DENT if APPLIES <br /> ❑MOTNA RECAB, ❑SHFIL RETAIL <br /> ❑XENCD t ) Mike Murphy241359 9 8 9 9 DATE: Z— <br /> ❑h10T1VAS CM Q+ •.,•.,.•,.•..•..^. <br /> ��� <br /> CONSULTANT ❑LUBES - .•,•,�-•q,r `.:;;_i:::::•:..._:.:.,. <br /> ❑TEST AMERIGI r IRVINE , <br /> [�t)TI1EA( SHELL PIPELIN <br /> "— PAGE <br /> of <br /> 1 ❑ E 0 <br /> s�Nara;cer�nNr: � ❑ THER �'�I 4'..:0'�':. ';•:4:: <.�. :..3 .4; .'9: ;571 '.`3`� <br /> Loc cocE: I WE ADM438 SVeet and Gry Stat. ROM0N0: <br /> Blaine Tech Services BTSS <br /> apORE65: 4315 Waterloo Rd.,Stockton CA T0607700400 <br /> EDr OEu4ERMlCroP..+.. ,9.Odm l«Nmx PMOtRfq: E-N k: CONSUUMITPROJERNO: <br /> 1680 Rogers Avenue,San Jose i <br /> PRaEacoN Acr w,.Nnv.Por ax Felicia Ballard C Sonoma 7D7.935 485D sonomaedf craworld.com QZl15}- 1 <br /> Lorin King —.V,;;Zius) .,+u: r (} �iT%C9`tFS'�'�l7NGY;�;.:•.S-;''%.1;.:;: <br /> 310-685.4455 x 106 310.637-5802 IkinO biaineteeh com - ' ','; •': <br /> TU NAROUNp TIME(CALENDAR PAYS): ©RESULTS NEWEO REQUESTED ANALYSIS <br /> TA)tAMD(14 DAY) 115 DAYS ❑3 DAYS 112 DAYS ❑24 HOURS ON WEEKEND <br /> O EA-RYIQM REPORT FORMT ❑UST AGfWY: <br /> SPECIAL INSTRUCTIONS OR NOTES: ❑'SHELL CONTRACT RATE APPLIES ui TEMPERATURE ON REQ <br /> 1) Please upload the"CRA EQuIS 4-file EDD"to the CRA Website ❑STATE REIMBURSEMENT RATE APPLIES <br /> (http:t/creleibeddupload.crawodd.conVaquisidefaulLaspx)andfor send it to the Shell-US ❑EDD NOT NEEDED d o <br /> LabDataManagemenl@CRAworld.com email folder. 2)Please indicate that you have a <br /> ❑RECEIPT VERIFICATION REQUESIFD at � <br /> uploaded the EDD by including"EDD Uploaded to CRA website"in the body of the email o a d <br /> used to deliver the final POF report to the Shell-US-LabOataManagement@CRAwor)d.com n m r <br /> emailfolder. <br /> Matrix Codes-WG(groundwater),WS(surface <br /> Email invoice and Copy final report to Shell.Lab.Billing@caworid.com TPHd water),WP(drinking water source),W(Trip or Tamp p + u N c g <br /> reporting limit=<50 for GW San Joaquin Reporting Limits Blank) Q. w m W w x m 0 o <br /> Field Sample Identification SAMPLING x PRESERVATIVE d o. r N o W V w <br /> DATE SAMPLER 5� <br /> NO. 4 .moo.. v , + . $ c Q p <br /> PROJECT NUMBER CMMDO INITIALS 2 S P I�r 4 <br /> usE•' YY) WELL to TIME CON pa p O x w > m a Container PID Readings <br /> g. <br /> ONLY H0L HNO3}12309 NONE OTHER 1^ 1- fL m W m m W W N .: W W $ or Whoratory.Notes <br /> Gw_2o 1-Dwt Ci3�! 1Z D ,M(u�)�jCKD j <br /> Rdu-4w,w br:(' ) Re..Mw by:(8 Dd. Tkw: <br /> RdepuJi s�' tlw R—W bf.(54vh.,) Tk-. <br /> Rd„girbd hy:(sq' .) R—t d hr.(SIy.a6YQ Oa1R IT <br /> ma <br /> �J2/0S Revkian <br />
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