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ARCHIVED REPORTS_XR0004161
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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601
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3500 - Local Oversight Program
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PR0545338
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ARCHIVED REPORTS_XR0004161
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Entry Properties
Last modified
2/12/2020 10:16:44 AM
Creation date
2/12/2020 8:39:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004161
RECORD_ID
PR0545338
PE
3528
FACILITY_ID
FA0003803
FACILITY_NAME
KETTLEMAN CHEVRON
STREET_NUMBER
601
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04728006
CURRENT_STATUS
02
SITE_LOCATION
601 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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IPT4'01 <br /> SERVICES.INCORPORATEDCHAIN OF CUSTODY Stanwell Drive,Suite 400 <br /> Concord,California 94520 <br /> Tel:(510)602.5100, Fax:(510)689-1918 <br /> ANALYSES REQUESTED <br /> �� UNOCAL-F6�'M� TURN AROUND TIME: <br /> SIS # 6 e t r CITY: �� � `.�'/ <br /> VARTKES TASHDJIAN m 114 <br /> 4� <br /> WITNU;INGAGENCY ADDRESS:6°/ t LL <br /> rr1 1�M O o U <br /> SAMPLING Qw.l H pwI 'moi O o I+s q REMARKS <br /> SAMPLE ID NO. DATE TIME WATER GRAB COMP NO.OF CONT. LOCATION (� A H A N 00 IJ <br /> momm� <br /> /0"' ,- x X z f/4174, lJ�X x os mos -� <br /> e{cJ .Z z /��� x 7 �rv�� A X 09 ti09 A--P--> <br /> u x X <br /> i091210 <br /> nj3 <br /> 12,'l 6 X x X -091211 <br /> rlw 5 j '� x X 09 212 <br /> r f <br /> X X z X B091213 <br /> H <br /> P 0.9 1, <br /> M <br /> L50T 1216 <br /> r�r <br /> mbi 17 <br /> I <br /> RELINQUISHED BY: DATEITIME RECEIVED BY: DATE[TIME THE FOLLOWING MUST BE COMPUTED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES: <br /> q11 g, 9) 1113196' 1. HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> ��// 6 ; fes-. �J i?5S <br /> L'C -/t" 2. WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? „_ <br /> (SIGNATURE) D (SIGNATURE) S/ <br /> 0 0 <br /> (SIGNA <br /> ISIGNAT 3. DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> 4. WERE SAMPLES L4 APPROPRIATE CONTAINERS AND PROPERLY PACKAGED] <br /> (SIGI�IATLiREI (SIGNATURE) <br /> (SIGNATURE) (SIGNATURE) SIGNATURE: TITLE: ATE: <br /> o s: All water containers to be sampled for TPHG113TEX, 8010&8240 are preserved with HCL. All water containers tgbe sampled for Lead or Metals are preserved with HNO3. All other containers are <br />
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