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ARCHIVED REPORTS_XR0012048
EnvironmentalHealth
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M
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MINER
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3500 - Local Oversight Program
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PR0541875
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ARCHIVED REPORTS_XR0012048
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Entry Properties
Last modified
3/16/2020 10:13:29 PM
Creation date
3/16/2020 2:20:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012048
RECORD_ID
PR0541875
PE
2960
FACILITY_ID
FA0024017
FACILITY_NAME
CHEVRON SITE 306415
STREET_NUMBER
437
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
APN
1392417
CURRENT_STATUS
01
SITE_LOCATION
437 E MINER AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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D 880 Chesapeake Drive•Redwood City,CA 94063•(415)364-9640 0 18939 120th Ave,N E,Suite101 •botnett,w% aouII %f-uw111 -- <br /> A 819 Striker Ave,Sui18$•Sacramento,CA 95(916)921-9600 a East 11115 Montgomery Suite B•Spokane WA 99206•(#.24-9200 <br /> • S W Pkwy,Suite 110•PDrtiand,OR 97222•[5�f 624- <br /> UN&AL Concord CA 94520•(514)686-9600 D 15055 �� <br /> O 1900 Bates Ave,Ave 5ude LM , <br /> Global ID #x0607700539 <br /> Company Name Gettler-Ryan Inc. Project Name Former Unocal #0187 <br /> Address 3140 Gold Camp Drive, Suite 170 <br /> UNOCAL Project Manager Nick Nickerson <br /> City Rancho Cordova State CA Zip Code 95670 Release# <br /> m <br /> Telephone (916) 631-1300 FAX# (916) 631-1317 Site# <br /> 0187, 437 E. Miner Avenue, Stockton, CA U <br /> if Sam ler aC�#J� ' QC Data 8 Level D(standard) ❑ Level C ❑ Level B ❑ Level A d <br /> Re ort To <br /> Anal sex Requested <br /> Turnaround ■ 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water <br /> Time: ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water �0,�1 <br /> CODE: ❑ Misc ❑ Detect ❑ Eval ■ Remed LlE) 11Demol Closure Other <br /> Client Date/Time Matrix #of Cont Laboratory �Q.7.� 4Comments <br /> Sample I D Sampled Desc Cont Type Sample# ' <br /> 0 <br /> Water 3 X X <br /> 1 U-3 <br /> 2 NP-1-22 <br /> Water 3 X X <br /> Q7* Water 3 X X 3 <br /> 3 NP-1-65 a <br /> 4 NP-1-111 Water 3 <br /> 5 NP-2-22 Water 3 'lf X X <br /> g NP-2-60 <br /> Water 3 --��o X X j <br /> 7 U-10 Water 3 X X <br /> j 0B <br /> 9 H . E 'Vt; <br /> L <br /> 0 <br /> 10 n <br /> Date -Time Received B Ca Date q <br /> Time ti � <br /> Relinquished By <br /> Date Time Received B Date <br /> Time <br /> Relinquished By <br /> Date <br /> Time Received B Lab Date ime <br /> Relinquished B <br /> Were Samples Received in Good Condition?❑Yes 4 No Samples on Ice9 ❑Yes 0 No Method of Shipment Page�of <br /> i <br /> To be completed upon receipt of report <br /> dy reported? ❑Yes❑No If no,what analyses are still needed9 <br /> 1) Were the analyses requested on the Chain of Custo <br /> 2) Was the report issued within the requested tumaround times ❑Yes O No If no,what was round time? <br /> Company Date <br /> Signature <br /> Approved by U <br />
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