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ARCHIVED REPORTS_XR0012316
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_XR0012316
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Entry Properties
Last modified
5/5/2020 1:18:47 PM
Creation date
5/5/2020 12:04:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012316
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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J 885 Jar,rfs OrNe•Morgan Itdl,CA 05037•(408)776 9600•FAX 78?4i30S O 18939120th Ave.N 6 Salto tai•Bothell.WA 99011 • 20814151•sf� <br /> U N A L ]819 8trskgr Avg,Surto 8•Saciarrrartto,CA 95834•(916)921W O 15SI 11115 610111Somery,Salto B 1 Spokane.WA 99208•t <br /> . O 15055&l,V Sequafa Pkwy.Surto f 10•Ybri18t1t1.OR 97222824-9804 <br /> :14 04 N wgat tort•Walnut Creak,CA 94598 (925)988-SWO <br /> 455 McDowell Blvd North,Sulte D•r'effilurna,CA 94934•(707)792-1065 GLOBAL ]ED# 70607700123 <br /> Consultant Company: Gettler--R Project Name: Former Un�1 92 -- <br /> an Inc. <br /> Address. 6747_sierra Court 8u t:e J UNOCAL Project Manager((equlred}: Nick N k rs n 16— 4- 2 5 <br /> Crt - -^ ----^- - -State Zap Code. 94565 AFE N - - <br /> y: Dublin CA <br /> FAX# Site 9,City,State- $2859, 1665 Pacific Avenue, tae t n CA <br /> Te1ephone: 925--551-7555 925-551-7899 i� <br /> QC DataU Level D (Standard ❑Level C U Level B Q LevOi A <br /> Report To: Deanna L. Hardin Sampler. � � <br /> Turnaround )Zto Work Days D 5 Work Days ❑3 Work Days 0 Dnnldna Water <br /> alyses Requested 0. <br /> Time. U 2 Work Bays Ira IWork Day ❑2-8 Hours u Wasto Were( <br /> CODE: U Misc. U Dotoot o Evac. a Remod ❑Demot ❑Closure ❑Other <br /> Client OatetTlme Matrix #of Cont, Laboratory ��. �'� Comments <br /> Sample I D. Sampled Dose. Cont. Type Sample It <br /> 0 (p0 o <br /> {� c 7{)x]'s—1417111=, o <br /> TBA.ULPE,00L <br /> 2. IAh4116 I,2DCA. <br /> 3 1 a °:LF61 -�I _ _ null ' <br /> O _ <br /> s MW -15- `Ata - - <br /> 1p MW-�2 115 5 .3 <br /> Time lD Received By �� Time:t- �— <br /> Relinquished By oat0. ��Q --- <br /> *W1'-% %1,NW/ <br /> Rellnqurshed By. Dara: Time: _-- _ deceived By: Date_ Tune: <br /> Relinquished ey: <br /> Date: Time: - Received By. Date: Time: � <br /> i <br /> Were SamplG9 Reoebed In Good Condition? Yes U No Samples on Ice? KY09 U Na Method of Shipment Page--of E <br /> mpleted upon recelpt of report.ere the analyses requostod on the Chain of Custody roported? CI Yos ❑No Ii no,what analysos aro stti! ime?noodd� <br /> as the report Issued within the requested t rnamund lime? a Yes IVa If no,what was the turnaround hme?b Slpnature: Q' Company.. C7' -TA� <br /> Y <br />
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