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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0232601
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
10/28/2020 1:25:14 PM
Creation date
9/3/2020 8:54:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0232601
PE
2361
FACILITY_ID
FA0004525
FACILITY_NAME
CHEVRON STATION #372736/2223
STREET_NUMBER
9484
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09055063
CURRENT_STATUS
01
SITE_LOCATION
9484 WEST LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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KBlackwell
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EHD - Public
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McCampbell Analytical, Inc. CHAIN-OF-CUSTODY RECORD Page I of I <br /> —' 1534 Willow Pass Rd <br /> Pittsburg,CA 94565-1701 WorkOrder: 1910845 ClientCode: GHDR <br /> (925)252-9262 <br /> WaterTrax ❑WriteOn EDF ❑Excel ❑EQuIS Email C HardCopy E:]ThirdParty ❑J-flag <br /> ❑Detection Summary ❑Dry-Weight <br /> Report to: Bill to: Requested TAT: 1 day; <br /> Mohamed Ibrahim Email: mohamed.ibrahim@ghd.com Accounts Payable <br /> GHD Services, Inc. cc/3rd Party. jeff.cloud@ghd.com; CPLWaste@ghd.com GHD Services, Inc. <br /> 943 Reserve Drive, Suite 100 PO: 943 Reserve Drive, Suite 100 Date Received. 10/17/2019 <br /> Roseville, CA 95678 Project: 11202858-07.11; Chevron 372736 UDC Roseville, CA 95678 Date Logged. 10/17/2019 <br /> 916-865-5305 FAX: Removal mohamed.ibrahim@ghd.com <br /> Requested Tests(See legend below) <br /> Lab ID Client ID Matrix Collection Date Hold 1 2 L 3 4 5 6 7 8 9 10 11 12 <br /> 1910845-001 SP1 Soil 10/17/201914:00 ❑ A A A A A <br /> 11910845-002 SP2 Soil 10/17/201914:03 ❑ A A A A A <br /> 1910845-003 SP3 Soil 10/17/201914:06 ❑ A A A A A <br /> 1910845-004 SP4 Soil 10/17/201914:12 ❑ A A A A A <br /> Test Legend: <br /> 1 8260B_BTEX_S 2❑ G-MBTEX S 0 PBMS_TTLC_S F4 PRDisposal Fee <br /> 5 TPH(DMO)_S <br /> 9 1 10 111 12 <br /> Project Manager: Angela Rydelius Prepared by: Nancy Palacios <br /> The following SamplDs:001A,002A,003A,004A contain testgroup Multi Range_S. <br /> Comments: <br /> NOTE: Soil samples are discarded 60 days after results are reported unless other arrangements are made(Water samples are 30 days). <br /> Hazardous samples will be returned to client or disposed of at client expense. <br /> Page 14 of 17 <br />
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