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ARCHIVED REPORTS_XR0007038
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_XR0007038
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Entry Properties
Last modified
4/14/2020 2:40:10 PM
Creation date
4/13/2020 4:27:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007038
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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EHD - Public
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1� <br /> Ca-) AIR TOXICS LTD. <br /> AN ENVIRONMENTAL ANALYTICAL LABORATORY ' <br /> WORK ORDER#: 0506421 <br /> Work Order Summary <br /> CLIENT Mr Robert L'Heureux BILL TO Mr Robert L'Heureux <br /> -ENSR International TENSR InternatEonal— <br /> 10411 Old Placerville Road 10411 Old Placerville Road <br /> Suite 210 Suite 210 <br /> Sacramento,CA 95827 Sacramento,CA 95827 <br /> PHONE 916-362-7100 X314 PO # 2106680 r <br /> FAX 916-362-8100 PROJECT# 06940-293-130 5400/5606 Pacific Avenue <br /> DATE RECEIVED 06/17/2005 CONTACT Nicole Salengo <br /> DATE COMPLETED 06/29/2005 <br /> RECEIPT <br /> FRACTION# NAME TEST VAC/FRES <br /> 01A Influent = Modified TO-3 - Tedlar Bag <br /> 01 AA Influent Duplicate Modified TO-3 Tedlar Bag <br /> 02A Midfluent Modified TO-3 Tedlar Bag <br /> 03A Effluent Modified TO-3 Tedlar Bag <br /> 04A Lab Blank Modified TO-3 NA <br /> 05A LCS Modified TO-3 NA <br /> 0511 LCS Modified-T0-3 NA <br /> i <br /> CERTIFIED BY DATE 06/29/05 <br /> Laboratory Director <br /> Certfication numbers AR DEQ-03-084-0,CA NELAP-02110CA,LA NELAP/LELAP-AI 30763,NI NELAP-CA004 <br /> NY NEL"- 11291,UT NELAP-9166389892 <br /> Name of Accrediting Agency NELAP/Florjda Department of Health, Scope of Application Clean A it Act, <br /> Accreditation number E87680,Effective date 07101104,Expiration date 06/30/05 <br /> Air Toxics Ltd certifies that the test results contained in this report meet all requirements of the NELAC standards <br /> This report shall not be reproduced,except in full,without the written approval of Air Toxics Ltd <br /> 180 BLUE RAVINE ROAD SUITE B FOLSOM CA-95630 <br /> (916)985-1000 (800)985-5955 FAX(916)985-1020 I� <br /> Pace I of I I <br />
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