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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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ALPINE
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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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EHD - Public
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Calscience 7440 Lincoln Way Phone: 714-895-5494 E*1%nM0b11_ <br /> Environmental Garden Grove, CA 92841 Fax: 714-894-7501 <br /> Laboratories, Inc. 13-10-0243 <br /> Consultant Name: Cardno ERI Account#: NA POM Dirrect Bill Cardno ERI <br /> Consultant Address:601 North McDowell Blvd Invoice To: Cardno ERI <br /> Consultant City/State/Zip: Petaluma.California 94954 Report To:Greg Gurss <br /> ExxonMobil Project Mgr:Jennifer Sedlachek Project Name:022789C(Monthly) <br /> Consultant Project Mgr: Greg Gurss ExxonMobil Site#: 99CAS Major Project(AFE#): <br /> Consultant Telephone Number: (707)766-2000 Fax No.: (707)789-0414 Site Address:75 East Alpine Avenue <br /> Sampler Name(Print): CaREC. UP,i4l'KK( Site City,State,Zip:Stockton.California <br /> Sampler Signature: ° Oversight Agency:SJVAGMD <br /> Pr Matrix Analyze For: <br /> d <br /> V <br /> n n W y <br /> m F <br /> vLi -9 _ m g v d <br /> IL <br /> 31 <br /> 7 F pE d 1/4 <br /> sw a IaF- 0 3z vSam Ie ID f z xxx M <br /> m <br /> V-DSCHG VEFF (&Ml k30 1LTedlar X I I I X Xlwy ..mens: <br /> X <br /> vV-INF-0X0 OXO ,iXl 1 35 1LTedlar X X X X <br /> CommentslSpeclal instructions: apor samp es: ep❑ to mg m uni or p an a <br /> Temperature Upon Receipt: <br /> PLEASE E-MAIL ALL PDF FILES TO Sample Containers Intact? Y N <br /> GLOBAL TO#(T0607700665) tNIQBcALLASS*1781-us.GOm) VOCs Free of Headspace? Y N <br /> Relinquished by: Mvc Time Received by: Date Time QC Deriverab'es(pie ase circte one <br /> /- (Q �//����/1� /1 %�p Level 2 <br /> CD <br /> Relinquished byy: D to Time Received by(Lab persorufel): Date Time Level 4 <br /> �Q// �/ Site Specific-if yes,please attach pre-schedule w/TestAmerica � <br /> elf. �V 1 / L'✓fes' �� /��v - rye1 Pro ecl ManagEr or atlach specific iris lruclions 0 <br /> rn <br /> Return to Contents <br />
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