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ARCHIVED REPORTS_XR0012137
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0541875
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ARCHIVED REPORTS_XR0012137
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Entry Properties
Last modified
3/16/2020 10:49:27 PM
Creation date
3/16/2020 2:52:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012137
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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L1680 Chesapeake Drive•Redwood City CA 9406 15)364-9600 U 18939 120th Ave,N E,Suite 101 •Bothell,WA 98011 •(20 1-9200 <br /> - UN AL • <br /> O 819 Striker Ave,Suite 8•Sacramento,CA 958346)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206• . 414-9200 ` <br /> U 404 N Wiget Lane•Walnut Creek CA 94598•(5101988 9600 0 15055 5 W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 • <br /> Consultant Company Project Name FORMER UNOCAL SS#0187 <br /> Gettler-R an Inc. Jab # 280Q45.85 <br /> Address 6747 Sierra Court, Suite J UNOCAL Project Manager Mr. Robert A. Boust <br /> City Dublin State CA Zip Code 94568 AFE # .. <br /> T) <br /> Telephone (510) 551-7555 FAX# (510) 551-7899 Site #, City, State d� , c' ^ . �' U <br /> Report To Deanna L Hardin Sam ler 't/c&4, s ;i5s�► '/4 h QC Data 4 Level D (Standard) ❑ Level C ❑ Level B ❑ Level A c <br /> Turnaround jj 10 Work Days ❑ 5 Work Days 3 Work Days ❑ Drinking Water Anal ses Re uestect 9-63�9IEE- <br /> Time ❑ 2 Work Das ❑ 1 Work Da -8 ours l� Waste Water �� • -7 a v <br /> CODE: ❑ Misc ❑ Detect ❑ Eva] ❑ Remed ❑ Demol ❑ Closure ❑ Other <br /> Client Datef ime Matrix #of Cant Laboratory th� 0�',yCr <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> I TB--LB <br /> Vi9 r Do NOT bill for <br /> 2 64, 1 3jlq f � 3 ya ph I o ;`'^r z X �C ?C �C x �C yC TB-LB. <br /> co <br /> 3 (,j.. 2 i Jl,1;Aq X X X X J <br /> 3 <br /> 4 U- 3 X <br /> 6 S C 9 y I 11y iI x X Pwr6 r v^ <br /> - 7 - 1111`11� X X K X ?C X K <br /> a w 1 G~1l/'"/ 4 z X x ?C K x X X <br /> 9 u� S 1z;;� p -� C K x X X x x <br /> 10 , 9 �,r�pAj .. -- �p 1C ?( X X X X X <br /> 4 <br /> a <br /> .a <br /> tB <br /> Relinquished By Date 3 Time 6 s 3"s Received By fi-m- e J <br /> ar <br /> Relinquished By Date Received By Date Time <br /> Relinquished By ate Time Received By Lab Date ' �� Time <br /> Were Samples Received in Good i-hon?C3 Yes❑ No Samples on Ice? ]Yes❑ No Metho of Shipment Page_of <br /> _�o be completed upon recelpt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? U Yes 1:1 No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? ❑Yes r,No If no, what was the turnaround time? — <br /> �9proved by ___ _ __ — Signature Company _____ _ __ _-Date __ <br />
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