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ARCHIVED REPORTS_XR0006938
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_XR0006938
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Entry Properties
Last modified
4/14/2020 2:21:25 PM
Creation date
4/13/2020 4:00:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006938
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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i i i i i i i Tve <br /> lii � �! i �j EQUCIA ANALYTICAL ❑ 680 Ch Bake •Redwood City, CA 94463•(415) 364-9600 FAX ( 364-9233 <br /> CHAIN O F CUSTODY ❑ 819 Stnker Ave , Suite 8•Sacramento, CA 95834- (916) 921-9600 FAX(916) 921-0100 <br /> ❑ 404 N Wiget Lane -Walnut Creek, CA 94598• (510) 988-9600 FAX (510) 988-9673 <br /> Company Name ProjectName <br /> Address �,� ;,, - , '�,tiva. S,-� Billing Address(if different) <br /> City i%10%303� State C,4 Zip Code �ygy <br /> Telephone I y i FAX# (14W)31n-18a-L P p # <br /> m <br /> Re ort To Sam ler Ski. QC Data Q-revel D (Standardi ❑ Level C ❑ Level B ❑ Level A U <br /> Turnaround M Working Days. ❑ 3 Working Days ❑ 2-8 Hours ❑ Drinking WaterAnal ses Re uested <br /> ' <br /> Time- ❑17 Working Days ❑ 2 Working Days ❑ Waste Water ,P o. <br /> ❑I 5 Working Days ❑ 24 Hours ❑ Other 4b <br /> Client Date/Time Matrix #of Cont Sequoia's <br /> Sample I!D Sampled Desc Cont Type Sample# z Comments <br /> Se-1 I '%ra�ah <br /> 07'1410- ll 0 <br /> 01 <br /> 2 S -10 i io 30 <br /> F� <br /> L F 3 <br /> f H11�l o <br /> t 4 �{CS— 1?Z- �.1�' � /ti�3y �at�Y ry e 3 ' �yy a ! "°�A".E. /y (S� ILI <br /> a t } <br /> a rr s AlrM§-ra 1 <br /> 5 S-- LIT"- C 2 �'6`+3 u <br /> 6 S-SC -t3 AC8sem , `IV <br /> R � �T, •i rn F cf f :- ips a-y �,, <br /> r �� -115 �t _T i..b. ..7 Fra H t R <br /> 7 3 � d �: ti./U� F <br /> Q <br /> %a �.� <br /> 0 Q <br /> N\ fi1 �i�{ ✓ 0 N <br /> DqZ.� <br /> Relinquished By Date Zd-uqs Time Received By Date `1 Time <br /> Relinquished By Date 21-3 Time Received By Date Time <br /> Relinquished By Date Time Received B LabDate ime <br /> Were Samples Received in Good Condition?U Yes 0 No Samples on Ice? ❑Yes❑No Method of Shipment Page_ of, <br />
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