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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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& It�I U 680 Chesapeake Orme*riedwood City.CA 94063•(650)300 u 18939 1201h Ave,N C Suto iot*Batholl,WA 98011•(?Or,)0200 <br /> UN O A L O 819 Stnker Avc Suite a■Sacramento,CA 95834•(916)921-9600 U Fast 11115 MorIlijomary,Suite 0•Spokane,WA 99206-(509)971-82W <br /> r ' U 404 N.YTiget Lane•Walnut Creek,CA 94595•(925)980-9800 U 15o55 5 W.Sequola Pkwy,Suita !t0•Portland OR 917222-(503)424-4800 <br /> 7 U 1455 WDmveil Btwd North Suite D*Petaluma,CA 94954•(707)7921865 GLOBAL ID# 70607700008 <br /> Consullant Company: GE`1"lLLK--RYAZ1 tile. Project Name SSV' 5098 <br /> Address: 6747 Sierra Court, Sotto J UNOCAL ProjeCt Manager Nick Nickerson <br /> City' Dublin S1ato' CA Zip Coda. 94568 AFE� <br /> Telephone' 925--551- X555_ FAX # 925--551-7899 Site 0.City, State #5098, Stockton. CA <br /> Report To Sam lor. QC Data Q Level D(standard) ❑ Level C ❑ Level B ❑Leval A <br /> P Deanna L. ltar�lfng p � 1�r�o n Y <br /> Turnaround 10 Wark Days ❑5 Work Days ❑3 work Days D DrinkingAnalyses Re tlested water Y q a <br /> Time 2 Work Days :11 w0tk Day ❑2-8 Hours LI Waste Water 7 <br /> CODE: Owe Q Delecl Q Eval ❑Rented ❑Clemaf O Closumo ❑Other D <br /> Client OatelTlme MaNix #of Cont Laboratory * Comments <br /> Sample I D Sampled Desc. Cont Type Sample# ► Q $�' - <br /> a 5- voA C t Zo d-�f <br /> 1 —7,4 5 p l _ ?h1a>'c fir, <br /> TBA,DIM,FMr, <br /> 2.JAW - 2.' b o, 124pi V ?AMI-,1,2WA, <br /> S$ -33 X FDB <br /> 5, r 1ZLY101 LU O <br /> 7. - -- <br /> 8 _ -- ZI <br /> 0 <br /> 10 <br /> Relinquished B . •y Date Time: Received By Date. Time- a� <br /> s <br /> Relinquished By. Dato• Time Received By: Date: Time: <br /> Relinqulstled By. Date- Time: Received By Lab Date Time <br /> Woro Samplos Received in Good Condition? O Yes ONO Samples on Ice? ❑Yes O No Method of SWipment Page of <br /> ITo be completed upon receipt of report, <br /> 1) Were the analyses requested an the Chain of Cuslody reported? a Yes 0 No 11 no,what analyses are 81111 neoded? <br /> 2) Was the report issued within the requested turnaround limeli u Yes 13 No If no,what was the turnaround time? <br /> Approved by Stanatura: Comm: Dato: <br />
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