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ARCHIVED REPORTS_XR0006899
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PACIFIC
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5606
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2900 - Site Mitigation Program
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PR0541401
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ARCHIVED REPORTS_XR0006899
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Entry Properties
Last modified
4/14/2020 1:41:19 PM
Creation date
4/13/2020 3:08:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006899
RECORD_ID
PR0541401
PE
2950
FACILITY_ID
FA0006046
FACILITY_NAME
UNION OIL STATION #5098
STREET_NUMBER
5606
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
02
SITE_LOCATION
5606 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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©1� R,401 <br /> SERVICES INCORPORATFD <br /> fLuStanwell Drive.sults 4oa CHAIN OF CUSTODY <br /> Concord,California 94520 <br /> Tel {510!602-5100, Fax (510)6B9-19118 <br /> SAhIPLFA UNOCAL ANALYSES REQUESTED <br /> SIS # SU rf 9CITY. S��'c• �'its" TURN AROUND TIME. <br /> YARTKSS TASHDJIAN y <br /> WITNESSING AGADDRESS <br /> ENCY <br /> �'�} ' �c t r t `�"' �' t <br /> C7 <br /> SAMPLINc ow H a O c REMARKS <br /> SAMPLE ID NO DATE TIME Af ) COMP NO OF CONT LOCATION H M H A H GO <br /> Mcg �o rLItigl 'P,� <br /> 1 7 Lf <br /> 14 <br /> 13 K >'l.� r K x t <br /> X � <br /> Lr � X a�In Z0 <br /> -r 42n 721 <br /> asses <br /> RELINUUISHED BY DATE/TIME RECEIVED BY DATEITIME THE FOLLOWING hjkU BE COMPLETED BY THE LABORATORY ACCEPTING <br /> {SAMPLES FOR ANALYSES <br /> t HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? 7 S . ... <br /> IS1G ?URE! I ISIGNATURE} 3 wILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> 7 <br /> ISIGNATURE) (SIGNATURE t u� �D ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> i 12 ` <br /> (SIGNATURE) (SIGNATURE) 4 WERE SAMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> {SIGNATURE) (SIGNATURE) SIGNATURE (��/ jam•------ TITLE �„�,�(7 — DATE <br /> v <br /> All water containere to be sampled for TPHGlBTEX, 8010 & 8240 aro preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers are <br /> unpreserved <br />
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