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ARCHIVED REPORTS_XR0012365
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012365
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Entry Properties
Last modified
5/5/2020 1:23:23 PM
Creation date
5/5/2020 12:17:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012365
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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aO 600 C1711,09 D,•11,000d City.C1415)364 9600 U 18 39 TP01h Ave,N E,Suite 101+butn a,,v,^ _ <br /> UNOCAL )K 919 Striker Ave,sufts s•Sacrarnenro,Cl,*::+19$15)921-9M O Essl 11115 Marugumary suite 13+Spokane VIA (509)924-9200 <br /> Q 1900 Bolas Ave,Suae LM•Concoid,CA 04520. 510 Gee 01100 Q 15053&W Sequaa .,(�624 QBM <br /> ( ) pkwy;Sura 11[7•PnMland.�A 972Q <br /> Company,Name- 66-M99- RYAN Pic, P(plect Name- VOPOLec <br /> Mdress 3(40 C3ow CAMP D A(V E Aj(r19 1-7o UNOCAL Project Manager, N is tc �►G�e�`Sa» <br /> tally R-ANcPo CogoovA Stat©. CA zip Gado Y676 7o Relaase N <br /> relepholra;Ca 16) G 3 t-- 1'3 ao FAX 0- (9 N)�6/31- 0 1-7 $ <br /> Site# '219`1 + Glolvwl <br /> Ae ortTo DAVID 0 P 706 Lsample, l�FF . OVA-MW162- ac Data 9 Levet p standard} FJ Level C ❑ Level V ❑ Level A <br /> 'turnaround M Work Days Q 6 Wort{ Days 13 3 Mork Days L7 Drinking Water llnat ses Requested <br /> Time: 2 Work Das U # Work DO 0 2-8 RGurs Q Waste Water <br /> CODE: U Mise ❑ Detect ;d Eval ❑ Berried ❑ Demol V Closuro A(Ulher <br /> Client VatalTtmB Matrix M of Cont. Laboratory 4 <br /> Sample I D Sampled Dow. Cont TYpe Sample fl CQmmonts <br /> P-"—/I S -0& i =1&& <br /> 4 $& 1 1a- <br /> 6. <br /> 7 <br /> S <br /> i[} <br /> Relinquished Dy Date•'' Ttne• Rectlived B Date: $I�2 Time. !2 r <br /> Retirtguishad Ry: Date: 302 TImn: °! a Aacelved By: Dale. Ime. z a <br /> R tin uis ed B - Date DtITIM0. Received Birb bate--�� - <br /> 7Erne: ��- <br /> Were Samples Ree ed in Ga d Condilfon?�&Yos 0 No Samples on Ice) XfYes(3No Malhocrof Shipment Ie ` — Fuge�of <br /> To be completer)upon(acerpt of repad. <br /> i) Were the analyses tequested on tho Chain of Custody repartoV ❑Yes U No It no,what analyses are still needed? — <br /> 2) Was tate repast Issued within the requested turnarotrrld tare? U Yes 4 No !f no,what was the tumaround timo? — <br /> Appmved hV- <br />
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