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ARCHIVED REPORTS_XR0006953
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0541401
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ARCHIVED REPORTS_XR0006953
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Entry Properties
Last modified
4/14/2020 2:21:12 PM
Creation date
4/13/2020 4:10:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006953
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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J 680 Chose peaka Drive-Redwood City,CA 04063•(650}364 ,J 7893912QNh Awe.R C Seta 101 •Bothell,WA 98011 -(200)4 <br /> Oo <br /> UNOtAL 0 810 S1 nker Ava,Sulta 8•Sactamanloi CA 95834•(916)9211-8600 J East 11115 Montgomery,Suite B•Spokane,PYA 99?06•�54J� 4-8200 <br /> 0 404 N Ww Lana•Walnut Creek,CA 94598•(925)988 9606 -j 15055 S W Sequmd Pkwy,Stuis i10•Portland,OR 97222•(343)624-0800 <br /> U 1455 Mcoowell t31vd North.Suite D-Petaluma,CA 94954•(707)792-1885 C j OBAT, TDI 70607700008 <br /> Consultant Company. CFTsf.FR—RYhhI Inc. Project Name. SSS 5b98 <br /> Address 6747 Sierra Court, Suite 3 UNOCAL Project Manager. Mick Nickerson <br /> City Dublin State: CA Zip Code 94568 AFE # <br /> Talephone. FAX 0' Slte ii, CI .State' CA Q <br /> 925-55?-7555 925-351-7899 tY $5498, . tocltCau, _ <br /> Report To: Deanna L. (larding Sampler: Val-ff3 •f Ari 4*►� QC Data: 0 Level D(stwxiara} 13 Level C ❑Lowal 8 J Level A ? <br /> X <br /> Turnaround10 Work Dsrys U 5 Work Days 3 3 Work Days 0 Drinking water Analyses Requested <br /> Time- Ll 2 Work Days C1 1 Work Day 0 2.81 lours ❑Waste Water <br /> CODE: .)Misc U betect O Evac C1 Remed O Demol 0 Closure 0 <br /> X <br /> Client Date/Time Matrix # of Cant Laboratory ( Comments <br /> Sample 1 D Sampled Desc Cont Type Sample 0 <br /> v rrr� .o S va.� � , <br /> TRA,DIPL,C761, <br /> 2. U . L Jr _ �P /*X i Ahlb.1.1 DCA, <br /> '3 KJ - +i1 - >1cu r <br /> a, <br /> 6 ow- If !JI i IT I <br /> x 1�zf <br /> 8. 6%Wr l 5 rdvop s L) t x x <br /> a <br /> 9. <br /> 110. <br /> J <br /> Relinquished 0y. - Data-, of Time-(T 3:0 Received By. Date 1174 CI Tinto• <br /> Relinquished By Date Time Received By. Date- Time. <br /> Relinquished By. Date Time: Recotved By Lab. Date: Time- <br /> Ware Samples Received in Good Condition? DYes U No Samples on Ice? 0 Yes O No Method of Shipment f'Sge�of <br /> To be completed upon receipt of report. <br /> 1)Were the analyses requested on the Chain of Custody reported? 0 Yas O No If no,what analyses are still needed? <br /> 2)Was the report issued within ileo requasled turnaround time? 0 Yes Ll No If no,what was the turnaround limo? <br /> Approved by, ._ Slgnaturw Company: Date: <br />
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