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ARCHIVED REPORTS_XR0012377
EnvironmentalHealth
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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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U 880 Chesapeake Drive•Redwoad C€ty,CA 94063.11111 364 9600 1 18939 12011,A,,,11,Swle 101 •1o11,eil WA 98011 •1701)11 i X1111 <br /> UNOCAL <br /> 1 <br /> )/J <br /> 19 Striker Ave,Suite S•Sacramento,CA 95834.(916)921-9600 IJ East 1 1115 Montgomery,Suite 8•Spokane,WA 99206•(509)914 +1)'00 <br /> U 404 N Wrget lane•Walnut Creek,CA 94598.(510)988 9600 1s 15055 S W Sequoia Pkwy,Suite 110•Porliand,OR 97222.(503)624 9800 <br /> Consultant Company <br /> �� � {� ,Of 0171-h w7yl K7lU� J Project Name <br /> Address -�p 2 �',� �-7� Tr ! l�C UNOCAL Project Manager <br /> City �� rl SOS Stale ZIPCode f/0 AFE It <br /> Telephone FAX1j, qv%- L(LJJ- 7<3? Site ft, City, State Kj 7-„�y r -� (�F� �s �'7� (� <br /> U <br /> fie ort To /( ) l eo1"'? %� � 14,lrQC Data I -Level D (Standard) ❑ Level C IJ Level t3 t] Level A <br /> a <br /> Turnaround V J0 Work Days IJ 5 Work Days ❑ 3 Work Days fJ Drinking Water Analyses Requested <br /> Time ❑ 2 Work Das IJ 1 Work Day ❑ 2-8 Hours ' ❑ Waste Water �? <br /> CODE: ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demof ❑ Closure V Other l 1 <br /> Client DatelTime Matrix H of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample 4f 1� Comments <br /> 1 — T= l Ire� G• S� r' � (` 1 j 1_ �,� �' <br /> 2 fir - <br /> 3 _J <br /> A F <br /> 4 <br /> d <br /> V) <br /> 6 <br /> 7 <br /> a <br /> 9 <br /> Z <br /> 10 <br /> I - T I <br /> � L <br /> O <br /> Relinquished By Date r/} 7 alp Time +!%'� Received By Dale Time <br /> Relinquished By Date Time Received By Dale Time E <br /> nelin ulshed By I Date Time Received By Lab 1 Date ITime <br /> Were Samples Received in Good Condition? IJ Yes FJ No Samples on Ice? ❑ Yes IJ No Method of Shipment Page of <br /> ro be completeJ completeupon receipt of ieporl <br /> 1) Were the analyses requested on the Chain of Custody reported? 1J Yes L7 No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? rJ Yes IJ No If no, what was the turnaround lime? _ <br /> �J I r, nor.. <br />
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