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ARCHIVED REPORTS_XR0006909
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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5606
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2900 - Site Mitigation Program
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PR0541401
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ARCHIVED REPORTS_XR0006909
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Entry Properties
Last modified
4/14/2020 1:42:31 PM
Creation date
4/13/2020 3:48:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006909
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 PDS <br /> Services, Inc <br /> CHAIN OF CUSTODY <br /> WLER 1 SITE NAME L ADDRESS ANALYSES REQUESTED TURNS AROUND TIME. <br /> t�l �tCC � 1 � ~i�sCFic' 5�= `�k <br /> INESSING AGENCY cy G � { , c A <br /> 4 J <br /> NO <br /> SAMPLE _I Of SAMPLING � R E M A R K S <br /> ID NO DATE TIME SOIL UATEV ,R/l4& COHP CONT LOCATION /}� /�/ 1 [ C �] <br /> 1�+v - iC I2� `� HCl + (� t �( 0/ fr '/ <br /> i <br /> it <br /> Z <br /> ✓ of ��� <br /> Il(Ntllsle (Signature) Date/Time �A4el b j?Signature) tri- (he following HOST 0E coirpleted by the laboratory accepting samples <br /> --� .F ��� ? Zf- Cif ��� for analysis. <br /> T Nave all samples received (or�natysls been stored In Ice? <br /> 4linqulshed by (Signature) Date/T)aie eceNed by. 01 aturc) �- <br /> 2 Uili samples remain ref igeraatect until analyzed? <br /> elinqulshed by (Signature) pate/time Received by {Sillnature) 3 Did any samples received {nr analysis have hand space? — <br /> C] <br /> 4 Uere samples in appropriate CorPKers and properly packaged7 <br /> n <br /> e(Iquished by (Signature) Date/Tyne Received by (Signature) �� <br /> t7 Q <br /> Signature t e ate <br /> 2i1)I%1l1)WLII I11hL,%olt(. I1Kl <br /> fnuLuul 011fL1fril 19152ii <br /> 1L 1510(A?511X1 11A 5111017 VA2 <br />
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