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COMPLIANCE INFO_2019
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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 <br /> 1534 Willow Pass Road TURN AROUND TIME a [a [a [a [aPittsburg,CA 94565-1701 <br /> Website:www.mccamt)bell.com Email: main@mccampbell.com RUSH 24 HR 4$HR 72 HR 5 DAY <br /> Telephone: 925 252-9262 Toll Free 877 252-9262 Fax: 925 252-2969 EDF Required ]circle ane]? oelt Normal Write On (DW) No EDF required <br /> Report To: MOHq MSD H f M Sill To: Ib10N rf7 L R H i M Anal sis Request Other Comments <br /> Company: GHD x <br /> w Filter <br /> � Samples <br /> k=OS IL N --5 ' 4-$ E-E-Mail: e . i h' Co „ SaSa Metals <br /> Tele: I b — q — o Fax: t1i analysis: <br /> Project 4: 1 ]�ZD o Pro'ect Natne: H Vit? Z 7' — h Yes/No <br /> Pro'ect Location: �} I_A S rcOz TON C 7 vet <br /> Sampler Si nature. <br /> SAMPLING MATRIX METHOD <br /> L PRESERVED <br /> SAMPLE ID <br /> 5 <br /> (Field Id 1'Gi t Name) LOCATION ca L i <br /> +. <br /> Date Time c artw <br /> 10 = W 0 0 �v L <br /> P5 S STOCkTON ►+-,o 13:35 Vi9R <br /> PEP 5 STO[k TO jAF— <br /> S`TOCkTo I:F/ r g_l5o I �A <br /> I <br /> mnkl— <br /> Date: Time: ci d By: GOO _ COMMENTS: <br /> 1 ��J f s1� <br /> GOOD CONDITION Email results to: �e{'� , 1pU �c�i r�J�r�. L0yy� <br /> t] f I (Y �✓ HEAD SPACE ABSENT G A <br /> Relinquished By: Date: Time: R eive By: DECHLORINATED IN LAB C (a Cpl-yiX'�P- Com <br /> APPROPRIATE CONTAINERS <br /> PRESERVED IN LAB <br /> Relinquished By: Date: Time: Received By: VOASI O&G I METALS I OTHER <br /> PRESERVATION pH<2 <br /> *Please circle water type: <br /> GROUND WASTE DRINKING RECREATIONAL EFFLUENT <br /> Page 28 of 29 <br />
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