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COMPLIANCE INFO_2019
EnvironmentalHealth
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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 ❑ ❑ ❑ ❑ <br /> Pittsburg,CA 94565-1701 <br /> Website: www.mccamnbell.com Email: main@mccampbell.com RUSH 24 HR 48 HR 72 HR 5 DAY <br /> Telephone: 925 252-9262 Toll Free 877 252-9262 Fax: 925 252-2969 EDF Required Icircle one]? JCoelt Norma] Write On (DW) No EDF required <br /> Report To: Mlo&DLw4 Bill To: till ok Analysis Request Other Comments <br /> Company. GHD <br /> aLJ3t�.S�CJE t,�C , Sae toD Filter <br /> ,4i(k4L C (o-)6 E-Mail: m�lna„ne�l r�.�.�n, to !` Samples <br /> Tele: i . Q q- 05-7Fax: for Metals <br /> Project#: lProject Name:C keQ jr cv%3-7Z-73L- t p Y slyNo <br /> Project Location: OVA64 Was 4--Vq <br /> Sampler Si nature: <br /> SAMPLING MATRIX METHOD <br /> d PRESERVEDSAMPLE ID <br /> � <br /> L C <br /> v 'Q <br /> (Field Point Name) LOCATION tj <br /> Date Time c „ ; v t <br /> U a cts = y rz O d A <br /> 'D 7-$ @N ,n I, ti23 X X X <br /> t1-\'1e'5 kZ55 1 <br /> s 'y- <br /> LA W - <br /> lcS +3zYS + 2� xXx <br /> �Z@.S i I x X x <br /> ch quisl►cdBy: Date: Time: Received By: ICE/tCOMMENT �. �a <br /> r GOOD CONDITION Email results to: my &*V-6t <br /> HEAD SPACE ABSENT 3 J,{.6 a✓d"(d c o— <br /> Relin uished By: Date: Time: eceived y: DECHLORINATED IN LAB ���q rh <br /> q �� APPROPRIATE CONTAINERS Cah J°�a11.e5" „ . G D <br /> PRESERVED IN LAB GQL I,t)a54 @') •G0^' <br /> Relinquished By: utile: Time: Received By: VOASI O&G I METALS OTHER <br /> PRESERVATION 1 pHt2 <br /> *Please circle water type: <br /> GROUND WASTE DRINKING RECREATIONAL EFFLUENT <br /> Page 71 of 72 <br />
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