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ARCHIVED REPORTS_XR0012056
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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_XR0012056
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Entry Properties
Last modified
3/16/2020 6:00:21 PM
Creation date
3/16/2020 2:24:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012056
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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❑ 680 Chesapeake Drive•Redwood City,CA (415)364-9600 ❑ 18939120th Ave,N E,Suite 101•Bothell,WA 96011 •(206)481-9200 <br /> UACAL <br /> ❑ 819 Striker Ave,Suite 8•Sacramento,CA 2•(9 16)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206.0 924-9200 <br /> ❑ 1900 Bates Ave,Suite LM•Concord,CA 94520•(510)686-9600 ❑ 15055 5 W Sequoia Pkwy,suite 110•Portland,OR 97122•(503)624-9800 <br /> [Address3140 <br /> ompany Name 7 r L INC* Project Name NO(,A V(• }r. l <br /> G /7 NOCAL Project Manager•ityI Q (�I�W' j� tate Zip Code �OLD <br /> Release# Ta�L al� 30o FAX# 6� 31• 17site# � o 00 3elephone ��►y Mt <br /> Report To RZ OG Sam le QC Data Level D(standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround N 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water <br /> Anal ses Requested <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE: ❑ Misc ❑ Detect %Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other �bD <br /> Client Date/Time Matrix #of Cont Laboratory Comments <br /> Sample I D Sampled Desc Cont Type Sample# <br /> D <br /> Oz/� a 13I� 5 �`�'� 0 <br /> 1 U-Z6 -!1°1 orifi <br /> = CIO <br /> 02 -J <br /> 2 <br /> 3 0 <br /> m <br /> 4 } <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 0 <br /> 9 m <br /> L <br /> 110 n <br /> F V` <br /> � J <br /> Date 6 OL Time �3 Oro Received B � Date — Time <br /> Relinquished By <br /> Dat X <br /> Relinquished By 74-'2, Timed Received B Time 3 <br /> Date Time Received B Lab Date Time <br /> Relinquished B <br /> Were Samples Received in Good Condition?❑Yes❑No Samples on Ices ID Yes d No Method of Shipment Page of <br /> To be completed capon receipt of report <br /> 1) Were the analyses edrequestedi he requested turnaround time? ❑Ythe Chain of Custody reported,7 es❑No Yes If not what was theno,what lyses are still turnaround time?needed? <br /> 2) Was the report issued q ApDate <br /> proved by Signature Company <br />
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