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ARCHIVED REPORTS_XR0012377
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PACIFIC
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1665
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012377
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Entry Properties
Last modified
5/5/2020 1:29:28 PM
Creation date
5/5/2020 12:23:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012377
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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1-1 680 Chesapeake Drive•Redwood City CA 94063• 364 9600 U 18939 1201h Ave,N P Suite 101 •Bothell,WA 98011 •(206) 9200 <br /> (D&AL >619 Striker Ave Suite 8•Sacramento CA 95834•( 21 9600 U East 11115 Montgomery,Suite B•Spokane,WA 9920fi•(509} 200 I <br /> O U 404 N Wt el Lane•Walnut Creek,CA 94598. 510 988 9600 U 15055 S W Sequoia <br /> 9 ( t q Pkwy,Suite 110 Portland,OR 97222 (503)624 9800 <br /> Consultant Company Protect Name Lr <br /> Address r e-e— UNOCAL Protect Manager <br /> City 5' J©"' State I 0A Zip Code AFE # — [E <br /> T <br /> Telephone � p �/ r/7-. '6b FAX # qV%— 4Lrr� S3 Site#, City, State '-� T <br /> ! �� 5 <br /> rRe ort To [� [� L-.��19/1 ei Sam ler / 14OC Data g evel D (Standard) rJ LevelC ❑ Level !3 i] Level A <br /> rnaround*10 Work Days` 5 Work Days IJ 3 Work Days U Drinking Water Anal ses Re uesled <br /> �A1�me lJ 2 Work Das fJ 1 Work Da IJ 2-8 Hours ❑ Waste Water <br /> ODE IJ Misc IJ Detect lJ Eval IJ Remed lJ Demol 1J Closure ther ry <br /> Client Daleffime Matrix It of Cont Laboratory s � <br /> Sample I D Sampled Desc Cont Type Sample It .�� Comments <br /> tt 4, jsry <br /> I 4 TNT C d ° <br /> �Ffi! SZn �caa, ull� n <br /> 3 f0 u] 4Ip. II�(fo J <br /> 4 3 <br /> 0 <br /> 5 <br /> } I <br /> 6 <br /> 7 <br /> s <br /> s <br /> 10 0 <br /> m <br /> 0 <br /> If <br /> Relinquished By ate rf� Z �(f, Time o Received By Date 104,v Time <br /> m <br /> Relinquished By 4zc SPD Dal 2 (a Time /Js O Received B Date Time <br /> Relinquished By I Date Time I Received Bv Lab1 DaIelO n Time 15 <br /> Were Samples Received in Good Condition?i Yes IJ No Samples on Ice? FJ Yes�No Method of Shipment .. � '�l/n r age_of <br /> To k)e complelerl upon receipt of report <br /> 1) Were the analyses requester]on the Chain of Custody reported?TMSYes IJ No If no, what analyses are still needed? <br /> 2) W'1s the roporl v,Sued within the re(litosled thirnaround lime? IJ Yes NNo If no, what was the turnaround time? V d'X47-3 <br /> � <br /> (1 (J ed A,eP c 1-) company lr <br /> Atil�rovPri by 1 �� �!i_r'�n-r ) Signature, p y f��:t' -- Date t <br />
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