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ARCHIVED REPORTS_XR0012102
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PACIFIC
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3500 - Local Oversight Program
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PR0545229
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ARCHIVED REPORTS_XR0012102
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Entry Properties
Last modified
1/24/2020 12:44:00 PM
Creation date
1/24/2020 11:44:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012102
RECORD_ID
PR0545229
PE
3526
FACILITY_ID
FA0003903
FACILITY_NAME
TOSCO CORPORATION #31258
STREET_NUMBER
4707
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10816004
CURRENT_STATUS
02
SITE_LOCATION
4707 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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© SERVICES INCORPORATED r �• M_ Q� v '� <br /> p0 <br /> zaol stanwen Drive,Suite aoo CHAIN OF CUSTODY <br /> Concord,California 94520 <br /> Tel (510)602-5100, Fax.(510)689-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS # 699/ — CITY s�� n TURN AROUND TIME. <br /> nlee ¢r <br /> WITNESSM AGENCY ADDRESS � Q G ` a r'1 <br /> W ru <br /> SAMPLING a H 04 ��••; O c REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION H Iq H A H oo :z <br /> F11� �z r�g� �� .�3 � z164w,c0 X �( �0419751[an./ <br /> RMF,G1q 7 JIX 04 9'76K X x x 04 9'717X X 04 9'78 M TB04 9'79 rreh <br /> X �- <br /> MdJ 13 4 x x 04980 <br /> I <br /> RELINQUISHED BY /DATE/TIME// RECEIVED BY DATEMME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> ,- <br /> `11,7 rl9U 4- -7G 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> 5, Fv 5�011� 3� WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SIGN TU E) �(y q6 (SIGNATURE) 2 <br /> (SIG Tli E) <br /> (SIG -.6Z 7 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAL)SPACE? /v <br /> (SIGNATURE) (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> r1L <br /> ATUREI (SIGNATURE) IbIfimTURE �/t�-"� TITLE. DATE. <br /> L I <br /> ote All water containers to be sampled for TPHG/BTEX, 8010& 8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers are <br /> unpreserved <br />
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