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ARCHIVED REPORTS_XR0012140
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0541875
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ARCHIVED REPORTS_XR0012140
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Entry Properties
Last modified
3/16/2020 5:37:26 PM
Creation date
3/16/2020 2:55:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012140
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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u uou�ria�Naarcauirva navrruuui..rrr,t,n awuw-�4rad.xrr-aovv u raaoa icurlinva,iv�,�w.a iur ouuiau, rvn .�ovir tcwj +ar acuu <br /> ' #UN A L • U Big Stoker Ave,Suite 6•Sacramento,CA 9 #511988-9600 <br /> 16)921.9600 U East 11115 Montgomery,Suite B•Spokane,WA 99206•*1) <br /> 24-9200 <br /> (3404 N Wlget Lane•Walnut Creek,CA 94598• O 15055 S W Sequora Pkwy,Suite 110•Portland.OR 97222• 24-9800 <br /> Consultant Company 6 X490LBOO 4S—.9&— Project Name �, , u �� g� # Q�g�- <br /> Address UNOCAL Project Manager Mnj �r f <br /> City- ba � h-6 State C,at t Zip Code ?SI.M S AFE# <br /> c <br /> Tele hon FAX A00ss ESQ Site#, City,State 3 &U nrtr 0_� <br /> Report To a k" Q t- NOJPIJf ISampler Va-Z, �4 a T 14 iC?1t. QC Data.,g Level D Standard ❑ Level C ❑ Level B ❑ Level A c <br /> Turnaround i0 Work Das ❑ Work Das ❑ 3 Work Das a <br /> Y Y Y ❑ Drinking Water [Analyses Re nested <br /> Time: ❑2 Work Das ❑ 1 Work Da ❑ 2-S Hours A Waste Water <br /> CODE: ❑ Misc. ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Others <br /> 5 <br /> Client Date/71me Matrix #of Cont Laboratory <br /> Sample I D Sampled Desc Cant Type Sample# Comments <br /> 1 _ i a� �a I v43 ?_4 <br /> 0 <br /> m <br /> 2 LJ r 2 fftA4 <br /> O <br /> v <br /> .r 3 �C <br /> J 4 r , Y as r4 � A <br /> ✓ s _ S 11 <br /> a^t. +c S 4-e- <br /> ✓ 7 Ur 1,o k V +ti <br /> 9 �( - �r S " <br /> z <br /> ✓ 10 u _ -6 <br /> L <br /> Relinquished ByDate 6a Time ��a- Received B Date� 0 <br /> Time <br /> Relinquished By Date Time Received By Date Time r <br /> Relingulshed By, i Date, ITIme I Received By Lab I Date ITIme <br /> Were Samples Received in Good Condition?U Yes O No Samples on Ice? ❑Yes❑ No Method of Shipment Page of_ <br /> '72) <br /> pete upon receipt o report <br /> Iere the analyses requested on the Chain of Custody reported? ❑Yes❑No If no,what analyses are still needed? <br /> as the report issued within the requested turnaround time? ❑Yes❑No If no,what was the turnaround time? <br /> by Signature Company Date <br />
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