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ARCHIVED REPORTS_XR0006905
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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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_XR0006905
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Entry Properties
Last modified
4/14/2020 1:41:22 PM
Creation date
4/13/2020 3:13:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006905
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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M P 60 Services, Inc. <br /> 2401 5trnweU Drive,Suite 400,Concord, CA 94620 <br /> Td. 15101 602-5120 Fax (5101 689-1918 V <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS # �%177 CITY 141��`� L +r TURN AROUND TIME <br /> J I � <br /> WITNESSING AGENCY ADDRESS 7 acs(}�, ✓�L G 1 ,L+ 4r\ N N <br /> .... = w G C <br /> SAMPLING a �- 0 0 REMARKS <br /> SAMPLEIDNO DATE TIME ttftR GRAB COMP NO OF CONT LOCATION II- CI w <br /> 409 <br /> 3`� ,k 409 ?R <br /> Aw of 091 7RC9 <br /> 1cn1 l3 `� 'jq 1? Uq A9 <br /> 4 f? Y 09irgo <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINU SED BY DATE/TIME R CEIVED BY I HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> � <br /> (SIGNATURE) iSIGNATURE) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> Iuk `'(l <br /> (SIGNATURE) ISIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> 3«� <br /> Rb �' (n 4 3 oo ,t,-- )?i-- <br /> (SIGNATURE( {SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> IS+GNATUREi ISIGNATURE) SIGNATUF l TITLE 0ATE <br />
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