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ARCHIVED REPORTS_XR0012299
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1665
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012299
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Entry Properties
Last modified
5/5/2020 1:29:17 PM
Creation date
5/5/2020 11:55:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012299
RECORD_ID
PR0545638
PE
3528
FACILITY_ID
FA0005998
FACILITY_NAME
UNION OIL SS#2859
STREET_NUMBER
1665
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
13702031
CURRENT_STATUS
02
SITE_LOCATION
1665 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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LSauers
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EHD - Public
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[ 0 480 Chasapeake Dave■F181WOOd COX CA 94063•(650)AN U 169391241h Awe„N F SilltS 101•Bothell,WA 8$011 •(206010200 <br /> i.. ❑919 Striker Ava,Sude a■Swmmerrto,CA©6$34.(9111)921-9600 U East 1 t 115 I4 onVomery;SUrte 6•Spokane,WA 8920G■(509 924 92x10 <br /> U404 N Wiget I ane•Walnr,t Creek.CA 314598■(829)988.-8fi0D ❑15455 3 W 5equalo PltMry,Svila S i0■Portland,DR 97222•(503)824-98D0 <br /> Consultant Company U 1455#rfc0awell MW iKarth,SWIG U•Felaluma,CA 94954■270*7921865 <br /> GLOBAL IN T06077DO123 <br /> Gettler-Ryan Inc, Project Name, <br /> Address U110cal #2859 <br />' - - - - <br /> b747 Sierra Court, Smite J UNOCAL Project Manager: <br /> City. Dublin Stato: Nick- <br /> Nickerson 916-714-32051 <br /> CA ZtpCode, 94568 AFE8- <br /> Telephone, 925..551-•7555 FAX#• Sde #,Cll <br /> 925-551-7899 %State: 02859, 1665 Pacific Ave., Stockenn, GA <br /> RaportTW Deanna i„ tlardi-n:10:1 <br /> Sampler• f/ � <br /> QC Data: Level D tStandarc ❑Levet C 0 Level D 0 Love]A � <br /> Turnaround 14 Work Days 5 Work[]ays U 3 Work D$ys O Drinking Water 't <br /> rime• 2 Work Days Wark Day O 2 S Hours Analyses Requested <br /> �Wasie Water � a. <br /> CODE: ❑hAEsc q Detect ❑Bval. u i�emed rJ n...l. ❑ClosurE# 13 131trvr <br /> Chant Datefrlms Ma1T1x 1)of Cont. Laboratory �y - <br /> Sample I.D Sampled Dela. Gant. Typo Sample # , ' I Comments <br /> � <br /> 2. xw t 7, .�l o�- I r�f� c.. � �, r 0'es-r BE. Vd� Af z s� ��%h7B$ 0 <br /> 3. . ry(� 1t�� -� �� _ IDs <br /> 5 Kid t L l 1 ti <br /> 7. 14t!J y f _ air t •� `� -f 7 <br /> 00 S- xix9— <br /> lo 40 <br /> -Relinquished By Date. <br /> fR©cetved By. - Data fr�lQz _ Time. 1'7 - <br /> Relinquished By. Date `-' Time- ReColved By Dato: Time: <br /> Relinquished By Date* Time: Received By Lata. Date. Time. <br /> Were&mplas Recoived in Gond Condition? Yes t3 No Samples on lee? b0ps [3 No Melhod of SitTprnsni 114" _ Page_L of L <br /> To be compfated upon receipt of report: <br /> 1)Were tho analyses roquested on Me Chain of Custody reported? U Yes Q No if no,what analyses are still 1V'eded9 <br /> 2)Was lila report issued Within tho requested turnaround time?�1 E3 Yes U No It no,what was the turnaround time? <br /> IA.-, __r. i? / / , F19.fl7C.tae- Z/ / r�i/Y/i w . " -Z-17'} _ ✓ ^� '! _,n Ir <br />
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