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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 1 of 1 <br /> 1534 Willow Pass Rd <br /> — Pittsburg,CA 94565-1701 WorkOrder: 1910581 ClientCode: GHDR <br /> (925)252-9262 ❑WaterTrax ❑WriteOn ❑EDF ❑Excel ❑EQuIS ❑Email ❑HardCopy ❑ThirdParty ❑J-flag <br /> ❑Detection Summary ❑■ Dry-Weight <br /> Report to: Bill to: Requested TAT: 5 days; <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. 10/11/2019 <br /> Roseville, CA 95678 Project: 11202858-07.11; Chevron 372736-UDC Roseville, CA 95678 Date Logged. 10/11/2019 <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 3 4 5 6 7 8 9 10 11 12 <br /> 1910581-001 D7-8@4 Soil 10/11/201912:35 ❑ A A A A A <br /> 1910581-002 D9-10@5 Soil 10/11/201912:45 ❑ A A A A A <br /> 1910581-003 Dll-12@5 Soil 10/11/201912:55 ❑ A A A A A <br /> 1910581-004 D5-6@5 Soil 10/11/201913:00 ❑ A A A A A <br /> 1910581-005 D3-4@5 Soil 10/11/201913:05 ❑ A A A A A <br /> 1910581-006 D1-2@5 Soil 10/11/201913:10 ❑ A A A A A <br /> 1910581-007 P1@5 Soil 10/11/201913:25 ❑ A A A A A <br /> 1910581-008 P2@5 Soil 10/11/201913:35 ❑ A A A A A <br /> 1910581-009 P4@5 Soil 10/11/201913:45 ❑ A A A A A <br /> 1910581-010 P3@5 Soil 10/11/201913:55 ❑ A A A A A <br /> Test Legend: <br /> 1❑ 8260B_S F2 G-MBTEX_S F3 PBMS_TTLC_S F4]1 PRDisposal Fee <br /> [5 TPH(DMO)_S 1 © �7 <br /> 19 10 11 12 <br /> Project Manager: Angela Rydelius Prepared by: Lilly Ortiz <br /> The following SamplDs:001A, 002A,003A,004A,005A,006A,007A, 008A, 009A, 010A 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 67 of 72 <br />
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