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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 Jarvls Nye a,6torrpa Hi:l,CA 55437•(408)7T6-9WO• 308 FAX(4 782-6 :]18939120th Ave.,N.E.Suite 101•Bothell,WA 98011 a(206)481.9200 <br /> UNOIAL ❑810 suikar Ave.,Stvite 8•Sacramento.CA 95&%•(9161 921 ❑Easl 11115 Mont 0r,14N.SLAD B'SP0010,WA 0=8•(809) 20D <br /> �58 <br /> ❑ 1 l ens•Walnut Creek,CA 9458$-(925)98&96W :]15455 SS.W. urala!'lctivy,3ulte 110•PorUand,4R 97222 (6 4 (i0 <br /> Ll -4M�1.W�2 <br /> 111455 McDowell Blvd.North,Suite 0•Petaluma,CA 94954 9(707)792-1865 GLOBA1. IN 70607700539 <br /> Consultant Company'. Project Name: Former Uuoeal 00187 <br /> _ Gett;ler-Ryan Inc. <br /> Address: 6747 Sierra Court, suite J UNOCAL Project Manager(required): Nick Yickernan 916-7-14-:3205 <br /> City: Dublin State: CA Zip Code: 94568 AFE#: <br /> Telephone: - FAX#: <br /> Site#,City, State: X0187, 437 R�-�st N!i,ngT. Avenue, Stockton,_-CA--- <br /> 925-551-7555 925-551�-7899 _ U <br /> Sam Ior QC Data: D Level D(Standard) U Level C U Level 8 u Level A <br /> Report TO: Deanna L. Hardin . <br /> Turnaround ❑ 10 Work Days U 5 Work Days U 3 Work Days ❑Drinking Water Analyses Requested <br /> Time: 0 2 Wark Days D Mork IDay O 2-8 Fieurs U Wasto Water \ <br /> CODE: ❑misc. 0 Detect- ❑Evei. ❑nomad. U Damol. U Closure I U 41her ��z,� ���� i`% <br /> 4 <br /> Ghent Aateff(me Matrix #of cont. Laboratory its ' Commonis <br /> Sample 1.D. Sampled Deso. Cont. Type Sample#sre A1100-1-3) <br /> $ <br /> ox 's I,y s2bo <br /> D17'tii<.T71A,TAME <br /> e3 <br /> �r l <br /> 500 <br /> 4. <br /> B. _ <br /> 7. <br /> 10. <br /> 7T <br /> Retingeishod 8y: bate: 1.1Q-,D) Time: F Received By: _ Date:V & Time: <br /> Relinquished By: Dater f S*J!3� Time: 13Sc4 Rooelved By: Date: 1 -2p Time. Lai, <br /> —_ <br /> 1rC�. Date: Received B . Date Time: C <br /> Relinquished By: a //�,Time: lata c <br /> IL <br /> Were Samples irtao©iueI i rttFition7 O / havOles on#co? Ayes ❑NO Method of 8bipmorl/ Ngo_of—_ t <br /> To bo oomplated upon receipt of report: <br /> t)Were the analyses requested on tile Chain of Custody reported? ❑Yes u No It no,what analyses are s#iii needed? <br /> 2)Was the report issued within tho requosted turnaround time? U Vb§ C1 No If no,what was the tumaround lime? <br /> Approved L- . signature ampany: -1�P_TALC <br />
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