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ARCHIVED REPORTS_XR0012226
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545229
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ARCHIVED REPORTS_XR0012226
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Entry Properties
Last modified
1/24/2020 1:10:49 PM
Creation date
1/24/2020 12:19:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012226
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
Tags
EHD - Public
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I <br /> 1�I <br /> N' <br /> ' 1 I <br /> 010166 n 085 Jams Or-Eve• Morgan Hill, CA 55097-(408)770-9804• FAX 1408)7a2-8308 <br /> 01 819 Sinker Ave,Suite S-Sacramento,CA 95034•(916)921-9300+ FAX (910)921 t7 t00 <br /> ❑404 ht Wiget Lane•Walnut Creek,CA.94598*(925)988.9600►FAX(925)'98a-99-73 <br /> (] 1455 McDowell Blvd Forth,Suite D■Petaluma,CA 54954•(707)792-1885• FAX x(707)792-0342 <br /> [�1551 Industrial Road• San Carlos,CA 94070■(654)2$2-18e04•eAX(Bs0)232-9612 <br /> Golmullent Company �j�- �L'>V,— V -rwr r Tosca Engineer 9-4— q �. <br /> Address 361t, 0t o rl I owe f l.... i.IA�.r t" r Sita#- Sgi <br /> I f <br /> CiLy Pe fa IStale ZiCade sato AiMrass <br /> ky4ff e" <br /> Telephone7-07 ,� Fax# 7�77J �1 Ernsil V� �'( �f city,stoic �C frV fr f i II <br /> Hepbrt 70 r sampler ,. OC Dala ll evel b(Standard) (J Leval„C Q Level D ❑Lovol A <br /> Drinking Wator Analyses Requested <br /> i <br /> lUmaraund �10 Work Qays (=j 5 Work nays 113 Work Qays � 9 Y 4 <br /> Time, 0 2 Work Days © 1 Work Day ©2,S Hcurs wasteWafer 4 ,,, A,Other <br /> Project Coding 1, ,� Q� Alp <br /> m <br /> Client DStefTime Matnx #of Cant Sequala'sA� <br /> Sampta I D Sampled 008c Cont Type Sampleg +4e, Comments <br /> Volff <br /> --�G 0 <br /> 4 - - CF <br /> 1 14 <br /> 6 <br /> 7 <br /> B II <br /> Relinquished Uy Date Time _ Receivedv -- Dato� &75 Timm <br /> Relinquished By Date Time Received 13 I _ Dato �I � Time � <br /> Relinquished By Dato Time Recelved By _ Dale li Time <br /> i Were Samples Recevved m Good condition (]Yes [I No Samples on Ice? II Yes ❑No Method of Shipment <br /> TG be compldtcd upon receipt of report I �� <br /> it <br /> i i)Woro lhC onalyses requested un Uie Chain of Custody reported? Vey U No If no,%,hat analyses are still needed? <br /> -/ 1 <br /> 2)Was the report issued within the requesied turnaround t�mo91 Q Yes Wo II no,what was the turnaround time?1��y {� - <br /> � /Os s 11 <br /> Approv �a..� J' VC Slgnature company- ❑ate S'7��3 <br /> I � ,I <br />
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