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ARCHIVED REPORTS_XR0012145
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0541875
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ARCHIVED REPORTS_XR0012145
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Entry Properties
Last modified
3/16/2020 4:59:41 PM
Creation date
3/16/2020 3:05:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012145
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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0 18939 120th Ave,NE Suitelul +bolneu,vvr%you11 -1cvvlw <br /> U N O U ❑680 Chesapeake Drive•Redwood City,CA 94063•{650)364-9600 - <br /> O 819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921-90 O East 11115 Montgomery,Suite B Spokane,WA 99206•(509)x200 <br /> 0 404 N Wiget lane•Walnut Creek,CA 94598•(925)988-9600 0 15055 S W Sequoia Pkwy,Sude 110•Portland OR 97222•(5 4-9800 <br /> O 1455 McDowell Blvd North,Suite D•Petaluma,CA 94954•(707)792-1865 <br /> Consultant Company �- � y �rC^ ��7f `�s Protect Name 4r4 c c-, <br /> �i f4 f „S 5r UNOCAL Project Manager /y r. R b a <br /> Address 6 <br /> Q �, -7 <br /> City ,D �ll State Zip Code g%r(,8 AFE# <br /> Y FAX 55-1 If 9� Site #, City, State 03�Eo s f l�Le�ar a�.4 .f <br /> Telephone(7z'S-) SSl..QSTQis-� _ E5 <br /> , <br /> Sampler f��3 T�� �� QC Data Level D (Stannard) O Level C ❑ Level B O Leve[ A Y <br /> Report To <br /> Analyses Requested <br /> Turnaround 10 Work Days 0 5 Work Days 0 3 Work Days 0 Drinking Water <br /> a <br /> Time C1 2 Work Days 01 Work Day 0 2-8 Hours YWaste Water � <br /> CODE: D Misc D Detect ❑Eval 0 Remed 0 Demol 0 Closure 0 Other <br /> Client DateMme Matrix # of Cont Laboratory <br /> O Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> O <br /> *4 ti � ctis <br /> 3 N>P-J� l11 I.% ti o <br /> 4 Alf, <br /> 6 Pp_-z�lr 6 � 4L /6 x <br /> 7 <br /> 8 a <br /> 9 0 <br /> m <br /> 10 <br /> O Date Ttme m <br /> Relinquished By C Date c� Time Received By (y L <br /> Relinquished By Date ' Tlm , y Received By <br /> Date Time <br /> 62 <br /> Relinquished By Date Time Received By Lab Date 7,-17- Time �3 •oj <br /> Were Samples Received in Good Condition? 0 Yes 0 No Samples on Ice? 0 Yes 0 No Method of Shipment Page—of To be completed upon receipt of report <br /> 1)Were the analyses requested on the Chain of Custody reported? ❑Yes D No !f no, what analyses are still needed <br /> 2)Was the report issued within the requested turnaround time'? 0 Yes 0 No If no, what was the turnaround time? <br /> Approved by Signature Company Date <br />
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