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ARCHIVED REPORTS_XR0012368
EnvironmentalHealth
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1665
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012368
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Entry Properties
Last modified
5/5/2020 1:30:35 PM
Creation date
5/5/2020 12:19:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012368
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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U 680 Chesapeake Drive•Redwood City,CA 940630)364 9600 G 18939 120th Ave,N E,Suite 101 •Bothell,WA 98011 •(200 <br /> 9200 <br /> UNOCAL 0 819 Striker Ave,Suite 8•Sacramento CA 95834•(916)921 9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924-9200 a <br /> O 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988 9600 O 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9 <br /> Consultant Company Gettler-Ryan Inc Job # 280054 85 Project Name FORMER UNOCALSERVICE STATION #2859 <br /> Address <br /> 6/4/ Sierra Court, Suite J UNOCAL Project Manager Mr Robert A Boust <br /> Ci u n State Zip Code AFE # <br /> ry _ <br /> 51 551-7555 FAX# (510) 551-7899 Site #, City, State z8' 57� i, Ca U <br /> Telephone <br /> Deanna L. Harding Sam ler `� <br /> Re ori To t<IC2� ES S� �I Q QC Data Leve! D (Standard) ❑ Level C 13 Level f3 ❑ Level A 0. <br /> Turnaround i O Work Days ❑ 5 Work Days 3 Work Days IJ Drinking Water Anal ses Requested <br /> Time. ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water �N'' <br /> CEDE: ❑ Mlsc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other rr <br /> Client Date/Time Matrix # of Cont Laboratory Q�` b� ` �, EO) �� �9 . � Comments <br /> Sample I D Sampled Desc Cont Type Sample # ,� qi <br /> 2 ! 3114$ `i� !o P1� <br /> z x X x x x x X as <br /> M�✓- . ,l <br /> y ,� �, 3 X X K K K X X P1 r e <br /> 3 MW—Z- )C Ifier <br /> ?"-S-4 y ?C X X rs L r o n, r <br /> . 6 Mwr. 9 q,,� Ah � � C- X X X K X X y- <br /> 7 M W- b t, /G fhr It I X X K X X X <br /> _ g M h!'- n,;7-hA( r IX K K X X X X A <br /> id:MBS ti p, X X )rl X X K K o <br /> 10 M W- tb;a3fN1 K iv X k K X X K t o <br /> n <br /> Relinquished By 4A Date Time L1 ecetved By Time <br /> Relinquished By Date rrrEs Received B <br /> Date Time <br /> Relinquished B <br /> Date Time 11 Received By Lab Date EIA Time ' v <br /> Were Samples Received in ondition?C)Yes 0 No Samples on Ice? ❑Yes❑ No Method f Shipment Page_of <br /> 1 <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes IJ No It no, what analyses are still needed? --� <br /> 2) Was the oport issued within the requested turnaround time? !<]Yes iJ No if nq�,whhfit was the turnaround time? �- <br /> *anrnvwrlby /l�(�it'1 �k' /�� �/'7 �inn�htrr l�Cr� :� �yv��'/K6'nmpany �?F-' ��� � !/lZ•--� Date <br />
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