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2900 - Site Mitigation Program
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PR0526874
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Entry Properties
Last modified
11/1/2018 10:48:26 AM
Creation date
11/1/2018 8:33:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0526874
PE
2960
FACILITY_ID
FA0018201
FACILITY_NAME
FORMER MOBIL SERVICE STATION 99-CAS
STREET_NUMBER
75
Direction
E
STREET_NAME
ALPINE
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11514007
CURRENT_STATUS
01
SITE_LOCATION
75 E ALPINE AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Calsciance <br />Environmental <br />Laboratories, Inc. <br />7440 Lincoln Way <br />Garden Grove, CA 92841 <br />� none: 714-396-6494 <br />Fax: 714-394-76011# <br />oMob it <br />11-08-1195 <br />Consultant Name: Environmental Resolutions, Inc. Account*: NA PON- Direct BIII Cardno ERI <br />Consultant Address: 601 N McDowell Invoice To: Direct Bill Cardno ERI <br />Consultand City/Stata2ip: Petaluma, CA 84654 Report To: Greg Gurss <br />ExxonMob(I Project Mgr: Jennifer Sedlachek Project Name: 02 2789 C <br />Consultant Project Mar: Grec Gurs� ExxonMobll Site #: 99CAS Major Prolect (AFE #): <br />Consultant Telephone Number: 1707) 758.2DDO Fax No.: 707-786-0414 Site Address: 75 E. Alpine Ave <br />Sampler Name (Print): l^>C✓ Viler, Site City, State, Zip: Stockton, CA <br />Sampler Signature: y Oversight Agency: Central Valley RWCBC <br />w <br />(Q <br />CD <br />Cn <br />O <br />v <br />presorvwlve <br />Matrix <br />Analyze For: <br />v <br />r <br />s— <br />c� <br />N <br />b <br />r <br />s <br />.2i. <br />� Lo w <br />r <br />.a <br />C5 <br />0 <br />3yy <br />Q O <br />coro <br />�co <br />F <br />m q <br />= Q <br />e <br />3t <br />U <br />x <br />m.z <br />R <br />c <br />5Sam <br />ie lD iL ❑ <br />r7 <br />ciL <br />t <br />Ji <br />x <br />x <br />x <br />x <br />$ <br />c� <br />rn <br />ui <br />a <br />rL CL <br />3— l— <br />>— <br />m ui <br />cc <br />rn <br />a <br />-21a. a� - �SSI it <br />1. DI <br />x <br />X x <br />X X x <br />x <br />Temperature Upon Receipt: <br />PLEASE E-MAIL ALL PDF FILES TO <br />Sample Containers Intact? Y N <br />GLOBAL IP tFT06Q 730504 Air%, 'rr.' us'caj!-n94a411 rt.- Us am <br />VOCs Free of Neadspace? Y N <br />61C 1701fyerablora [please circle one <br />Rahnqui <br />Qaln <br />Tin;o <br />Recelvod <br />ale <br />P149 <br />limn <br />I/ <br />c� —Love <br />l 3 <br />LeVe14 <br />ed by: <br />io <br />Time <br />Received by (Lab p rsan <br />etc, <br />Time <br />_ <br />G <br />+ r� <br />Site Specific - if yes, please attach pre -schedule wt Ceisclenee <br />f t7 LJ <br />Pr❑'au Manager w atlach spnssfic instructions <br />w <br />(Q <br />CD <br />Cn <br />O <br />v <br />
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