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ARCHIVED REPORTS Fourth Quarter 2013
Environmental Health - Public
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EHD Program Facility Records by Street Name
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A
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ALPINE
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75
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2900 - Site Mitigation Program
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PR0526874
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ARCHIVED REPORTS Fourth Quarter 2013
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Last modified
11/1/2018 3:32:43 PM
Creation date
11/1/2018 8:46:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS Fourth Quarter 2013
FileName_PostFix
Fourth Quarter 2013
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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WNg
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EHD - Public
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Page 31 of 32 <br /> Zaboratodes, <br /> ��-�,� ,�� WORK ORDER #: 13-12-El a KI <br /> mCooler of <br /> .—CLIENT: T DATE: 12 /z> V 13 <br /> TEMPERATURE: Thermometer ID: SC2 (Criteria: 0.0°C-6.0°C, not frozen except sediment/tissue) <br /> Temperature • Z OC - 0.2°C (CF) __ °C ,0 Blank ❑ Sample <br /> ❑ Sample(s) outside temperature criteria (PM/APM contacted by: ). <br /> ❑ Sample(s) outside temperature criteria but received on ice/chilled on same day of sampling. <br /> ❑ Received at ambient temperature, placed on ice for transport by Courier. <br /> Ambient Temperature: 13Air ElFilter Checked by:auZ <br /> CUSTODY SEALS INTACT: <br /> .Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Checked by: �'y <br /> ❑ Sample ❑ ❑ No (Not Intact) .21"Not Present Checked by:72& <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples....................e, ❑ ❑ <br /> COC document(s) received complete....................................................ice ❑ ❑ <br /> ❑ Collection date/time, matrix, and/or#of containers logged in based on sample labels. <br /> ❑ No analysis requested. ❑ Not relinquished. ❑ No date/time relinquished. <br /> Sampler's name indicated on COC..................................................... ❑ ❑ <br /> Sample container label(s) consistent with COC..................................... ❑ „FIK ❑ <br /> Sample container(s) intact and good condition...................................... . 0� ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... Z__ ❑ ❑ <br /> Analyses received within holding time................................................. ;3' ❑ ❑ <br /> Aqueous samples received within 15-minute holding time <br /> ❑ pH ❑ Residual Chlorine ❑ Dissolved Sulfides ❑ Dissolved Oxygen........... ❑ ❑ B' <br /> Proper preservation noted on COC or sample container.......................... .0- ❑ ❑� <br /> Y <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> i. <br /> Volatile analysis container(s) free of headspace.....................................ci!!:r ❑ ❑ <br /> Tedlar bag(s) free of condensation...................................................... ❑ ❑ ,lI' <br /> CONTAINER TYPE: <br /> Solid: 040ZCGJ ❑800zCGJ 016ozCGJ []Sleeve ( ) ❑EnCoreso ❑TerraCores° ❑ <br /> Aqueous: ❑VO 0.6 Ah ❑VOAna2 ❑125AGB ❑125AGBh ❑125AGBp 01AGB 01AGBna2 ❑1AGBs <br /> 2 <br /> ❑500AGB 5 AGJ ❑500AGJs 0250AGB ❑250CGB 0250CGBs ❑1PB ❑1PBna ❑500PB <br /> ❑250PB I250PBn ❑125PB 0125PBznna 0100PJ (:1100PJna2 El ElAir: ❑Tedlaro ❑Canister Other: ❑ Trip Blank Lot#: Labeled/Checked by: <br /> Container: C:Clear A:Amber P: Plastic G: Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope Reviewed by: <br /> Preservative: h: HCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4s:H2SO4 u:Ultra-pure znna:ZnAc2+NaOH f:Filtered Scanned by: &F)k _ <br /> SOP T1 00090(07131/13) <br />
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