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ARCHIVED REPORTS_XR0012123
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0541875
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ARCHIVED REPORTS_XR0012123
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Entry Properties
Last modified
3/16/2020 11:28:22 PM
Creation date
3/16/2020 2:46:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012123
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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O885 Jarvis Dan Nil ve•MargaL CA 95037 q,(408)776.9600•FAX(406)7824308 O 18939120th Ave.,N.F.Su119 101 Rathal1,VIA 98011 e-(205)491.9200 <br /> UNO C; <br /> L ❑819 Sinker Ave..Suite s v SacramDrito,CA 95834■(910)9219600 3 East 11115 Montgomery,Suite li•Spokane.WA 99208•(640)024.9200 <br /> U 404 N.Wipe!lane Walnut Greek.CA 94598 v(925)9BB-9600 :115055 S.%M.Sequoia pkwy,Suite i 10•Polliand,DR 07222•(503)824-9800 <br /> U 1455 MC13myell Blvd,North,Suite D•Pelaluma,CA 94954•(707)782-1965 GLOBAL IN x0607700539 <br /> I <br /> Consultant Company. Project Nome: Former unocal 00187 <br /> Gett�cr--t€y3n inc. <br /> J UNOCAL ProjcctMarlager{required: Nick ��.ckcrsan 916-714-3205Address: 6147 Sierra Court, Sul.te <br /> Clty: Bublin State: CA ZIP Code. 94568 AFE <br /> FAX #; Site 9.City, State:P01B7, 437 East diner Ave. , Stockton, CA ar <br /> Telephone: 925-5'5l-7555 925-551-7899 .... ---•--------- <br /> Re rt To: Hardi�t, Sampler. QC Data: U Level D(standard) u Level C 0 Levet a Q Level A <br /> 1 Deamia L g ' <br /> Anal sos HOV081ed a <br /> Turnaround 0 10 Work Days 0 5 Work Days ❑3 Woik Days ❑Drinking Water � <br /> Time: 0 2 Work Days O IWOM Day ❑2-8 Hours J. Waste Water rt <br /> CGDE. ❑Wise. U Deteel. 0 Eval. 0 Renied. ElDemol. ❑Closure otilor <br /> Client DatelTima ithaidY. #Of Cont. Laboratory + comments <br /> i <br /> Sample 1.D. Sampled Desc. Cont. Type Sample# <br /> J' S• ,03 — vd'% OIQ5 Ox $s by W60 <br /> O V' <br /> 1?iwE,t31-8r•., <br /> TANIE <br /> � , 1tS5 -tom 'C <br /> 4. �3 1300 ._. . S._ - <br /> i <br /> 5 11110 <br /> M <br /> 11610 <br /> 7. <br /> 10. <br /> II� gA <br /> ) ..r <br /> Relinquished By. Data: Itif- ) Time: 109 Received SyG. ' Qato•`1 �I Time: <br /> ReHrlguistted By:, Qate!�j� Timer4 Received 8y: Dater 2, Time: SSV c <br /> Relinquished Byr, Data: a3 Time: j Received By., '42I Dato: Time:) x <br /> {IWete Samples Received t ood CoConditign- �s o-` Saalples on Ice? JaMes 0N Meth lr9l; ont Cf'""3XPage Zd a _--_ <br /> To be completed upon receipt of report: <br /> 1)Wora the analyses requested on the Chain of Custody reported? 0 Yes i]Na If no,what analyses are still needed?_ <br /> 2)Was the report Issued witht the sled turnaround time? ❑Yes Li No It no,what was the turnaround time? __ <br /> Approved __L- �(1 Signature- 2-Y •__Company:r� -Q�1� _ p i 03 <br />
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