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ARCHIVED REPORTS_NOTICE OF INTENT FOR INSTALLATION, OPERATION AND MAINTENANCE OF AN OZONE INJECTION GROUNDWATER REMEDIATION SYSTEM
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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601
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2900 - Site Mitigation Program
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PR0506054
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ARCHIVED REPORTS_NOTICE OF INTENT FOR INSTALLATION, OPERATION AND MAINTENANCE OF AN OZONE INJECTION GROUNDWATER REMEDIATION SYSTEM
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Last modified
3/13/2020 10:09:52 PM
Creation date
3/13/2020 4:54:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
NOTICE OF INTENT FOR INSTALLATION, OPERATION AND MAINTENANCE OF AN OZONE INJECTION GROUNDWATER REMEDIATION SYSTEM
RECORD_ID
PR0506054
PE
2960
FACILITY_ID
FA0007173
FACILITY_NAME
FORMER VINTAGE CARWASH (VACANT LOT)
STREET_NUMBER
601
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
APN
13931025
CURRENT_STATUS
01
SITE_LOCATION
601 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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mm mm m mm mmmm mm <br /> B 5 K ANALYTICAL 1414 Stanislaus Street,Fresao,CA 93706-1623 2009050731 05/12/2009 <br /> LABORATORIES (559)497-2888*FAX(559)497-2893*.www.bsldabs.com <br /> Geo Con TAT: Standard <br /> *Required Fields TEMP: 512026 <br /> CGeotlCompaay Name*: Report Attenfion*: Phone"#:916_852-9118 FAX 916-508-1913 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> Geo Con Consultants Kevin Brown E-.ail: a ANALYSIS REQUESTED <br /> Address" w 5N .�O'ti. <br /> q 7 City* State* Zip*2 Carbon Copies:(Circle One) O <br /> OtJ VALI.fG �ROS00 N Ho V!L �S` L CDHS❑ Fremo Co❑ EPA[-] T <br /> Project Infannstion: PO# co <br /> Merced Co❑ Tulare Ca❑ 2 <br /> Vintage Car Wash Stockton, CA Quote# Gme n/a m <br /> How would you like your completed results seat? ❑E-Mail❑Fax ❑EDD ❑Mail Only Regulatory Compliance E <br /> Electronic Dam Transfer:I]YE]N M <br /> Sampler Name Printed/Signature QCRequest Ruult Request**Surdmrge System No.* <br /> e CIEorRA4GE/c -ivaar•TO j <br /> []STD ❑Leve1R TD❑ Day*"❑2 Day*"❑1Dayra <br /> Ocoa:ToGsrly J <br /> Matrix Types: RSW=Raw SsufaceWater CFW=CIorinated Finished Water CWW=Chorina[ed Waste Water BW=Bottled Water 3 <br /> RGW=Raw Grouud Water FW=Finished Water WW=Waste Water SW=Starm Water DW=Drinking Water SO=Solid O <br /> J <br /> Sample # Sam led Sample Description/Location". IMatrix^ .Comments/Ste Hon Cade <br /> # Bottles Data Time- <br /> c�l IfR 1 o Pww- <br /> I 5Mw-3 r <br /> loos AvIW-S <br /> o3S X1W-ro <br /> Is3b GWX - <br /> )Zls <br /> COC created 1/6/09 PE, per Kevin Brown <br /> Relinquished by:(Signanue and Printed Name) Company Date Time Received by(Signature and Print Name) company <br /> 3b5H �-, 6b6 1(&u G 50 <br /> Relinquished by:(Signature and Pruned Name) Company Date Time Received by(Signature and Print Nmne) Company <br /> Receiv r ab :(Si amid P' ed Name) / Dat ayment'Received at Delivery:- - - <br /> Data Amount Check/Cash/Card PIA# Ltit <br /> 6lipping Method: - f Cooling Method: - Packi ig Material: <br /> CAO UP GSO WALIC-IN SNC FED EX OTHER WET BLUE NONE <br /> Nance:Payn+mlfusuviar,mdud unoledlrnin aadaemfugwidms 30 dysfmm+Nw+wveiked Ifnasopaidacwmubolm,arnredemxd de4ngma IkWqumlbalmararesubjurly mwddyservi�rabillingtlwges rvd'uva talcWmeiut t 1n%per.0 18Yoprrmmwn&SK&AsxocimcslWl bemused to <br /> ag,ees�obe�wmaccanLt annofmllariu+x bulWingmwmeySlarmmmdpdona Orin Wigadm wtmawmndudW byjudgm,m,t wdemm4mnymnuxikvoduarisa Dss peaanaiPpivgfoN+eclimaDompoul_ecp,esslryudawMedgx tlnkYney u,eei0+¢dw Gimtwawlsa�do6mtw WeC4m4mdYw Client <br /> rupo,uiblefaPnYmaaforauilydW sur son dun GmwolMlody.Nrynwd'SeuimafAewatysumquui{tlY,aqpeorqumuues,uillbemledaMa�uPmdus PminofGsivdy.Theumiammd wneforo,qsan+µes,wivM v11er3:0ppin+wubegi„dteuwb,su+asdq. �fl�,rm lm.gowr <br />
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