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ARCHIVED REPORTS_XR0012061
EnvironmentalHealth
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M
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3500 - Local Oversight Program
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PR0541875
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ARCHIVED REPORTS_XR0012061
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Entry Properties
Last modified
3/16/2020 7:29:25 PM
Creation date
3/16/2020 2:28:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012061
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
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SJGOV\sballwahn
Tags
EHD - Public
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U fi80 Chesapeake Drive•Redwood City CA 94063364-9600 U 18939 1201h Ave N E Suite 101 •Bolhell,WA 96011 •(206)4 9200 <br /> 819 Striker Ave Suite 8•Sacramento CA 95834•(621 9600 U East 11115 Montgomery Suite B•Spokane WA 99206•(509) J200 <br /> UNOPAL (D <br /> U 404 N Wiget Lane•Walnut Creek CA 94598•(510)988-9600 U 15055 S W Sequoia Pkwy Suite 110•Portland OR 97222•(503)624 9b00 <br /> [CityO <br /> onsultant Company - Project NameJA C-Cj <br /> ddress �i UNOCAL Project Manager ` <br /> r <br /> >` StateCA <br /> Zip Code `l S 6 AFE# <br /> I — s- k-�t LDTelephone 22 --� -5-1 � �� X t l FAX#!�2S S5�-� Site#, City, State g 7 CA, U <br /> Report To 1 t'S�he�lniv� A4 ISampler P. Lel ,nM p� QC Data 21evel D (Standard) CI Level C I-11 Level B LJI Level A <br /> Turnaround 1J 10 Work Days �i5 Work Days U 3 Work Days IJ Drinking Water Analyses Requested <br /> Time IJ 2 Work Das U 1 Work Day U 2-8 Hours ❑ Waste Water <br /> CODE U Mise U Detect IJ Eval XRemed IJ Demol IJ Closure U Other <br /> Client Date/Time Matrix # of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> 69 tb 2 VOA} "I m o ?C o <br /> 2 - 1- Sd ab -C k X ° <br /> 3 - - $5 —U X X J <br /> 4 p <br /> 5 - -0H X X } <br /> - Z-6a Xx <br /> 7 — 2- � t0 � } x x <br /> i a <br /> 9 <br /> td �� a <br /> c� <br /> 0 <br /> Relwqulsl led By Date K271uj Time ?gid Received B 11 L '11 pate r'3l Tirn( <br /> kJ — 7 W <br /> Rellnqulyhed By Date Time Received By Date 1 Inge -E <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition?U Yes tJ No Samples on Ice? U Yes U No Method of Shipment _ Page of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? Li Yes U No if no, what analyses are still needed? <br /> 2) Was the report Issued within the requested turnaround time? LI Yes U No If no,what was the turnaround time? <br /> Approved by Signature Company Date <br />
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