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ARCHIVED REPORTS_XR0012305
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012305
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Entry Properties
Last modified
5/5/2020 1:06:42 PM
Creation date
5/5/2020 12:00:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012305
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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EHD - Public
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W"40CAL <br /> El680 Chesapeake Drive-Redwood CityICA 94063•(650)364-9600 ❑18939120th Ave,N E Suite 101 •Bothell,WA 98011 •(206)481-9200 <br /> El 819 StrikenAve,Suite 8-Sacramento,CA 95834•(916) 9219600 ❑f=ast 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924-9200 <br /> J 11 <br /> El 404 N Wiget Lane•Walnut Creek,CA 94598-(925)988-9600 ` ❑15055 S W Sequoia Pkwy,Suite 110-Portland,OR 97222•(503)624-9800 <br /> El 1455 McDowell Blvd North,Suiteb•Petaluma,CA 94954•(707)+792-1865 <br /> r n n <br /> Consultant Company p Y Geftr°�►- ,C' an lna. T�b, # .Z$t9C] .$1 Project Name <br /> dre5St <br /> �''ir+x r' L/n •� <br /> Address- 6� ,�►a/Y Coc irf Su.i�t �; UNOCAL Project Manager /� <br /> City. Cb 94� �v} State � , Zlp Code iq yob$- AFE# <br /> F <br /> 'Telephone t li , , State <br /> SS!- S- -s' 4 <br /> Site # City,Y I66f-Z'. e 't. e� S�L ' �A� cr,, a� <br /> Report To D 4_ Sampler S h QC Data Level D (standard) ❑ Level C ❑ Level B L3 Level A <br /> Turnaround10 Work Days C35 Work Days ©3 Work Days ❑ Drinking Water Analyses Requested ii <br /> 11 <br /> Time: 132 Work Days ❑ t Work Day O 2-8 Hours11 AWaste Water <br /> CODE: ❑Misc ❑ Detect ❑ Eval f0 Remed ❑ Dem'ol O Closure ❑Other <br /> k <br /> Client Date/Time Matrix # of ;' Cont Laboratory Co mena,,- <br /> Sample I D Sampled Desc Cont Type I Sample# Q ' - T� <br /> I. Mme_ f of rf' tt � 3 IIo�A ��IUZD���o X T - o <br /> 2 i 3LL0jD/Fq—t <br /> J <br /> f _ <br /> o6 _ <br /> 7. - 10 1111p, <br /> 9. A41• {v 3 F4141y LD <br /> 10 Mf'- I �, •� 3 �- l( yc o <br /> I <br /> Relinquished By Aw <br /> k,- Date 2/2 ) Time 5 PL't Received Date-4wTime - <br /> Relinquished By Date' Time Received By Date - Time 3 - <br /> Relinquished By Date �� a Time Received By Lab Date Time <br /> - <br /> Were Samples Received in Good Condition? ❑Yes ❑No �� Samples on Ice9 ❑Yes ❑No Method of Shipment - Page of <br /> To be completed upon receipt of report 11 <br /> i)Were the analyses requested on the Chain of Custody 11repo rted? ❑Yes , ❑ No_ If no, what analyses are still needed? - <br /> 2)Was the report issued within the requested turnari0u4 time' ❑Yes ❑ No If no,what was the turnaround time? <br /> Approve Signature . Company <br /> !, 11 11 - <br />
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