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ARCHIVED REPORTS_XR0012050
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0541875
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ARCHIVED REPORTS_XR0012050
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Entry Properties
Last modified
3/16/2020 5:32:31 PM
Creation date
3/16/2020 2:22:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012050
RECORD_ID
PR0541875
PE
2960
FACILITY_ID
FA0024017
FACILITY_NAME
CHEVRON SITE 306415
STREET_NUMBER
437
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
APN
1392417
CURRENT_STATUS
01
SITE_LOCATION
437 E MINER AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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OU <br /> 7 686 Chesapeake Olive•Redwood City,CA 94M•(650}364AM UWA <br /> 0 16939 120th Ave.N E Su oto 101 •Bothclf WA 98411-{208)481 92 <br /> 09200 AL -a839 Striker Ave..Suite$•Sacramenin,GA$5834 (9t6)921* V Eeat 11115 Montgomery,Suite A•SPnkann,WA 99205•(u09 <br /> ZI 404 N Wiget Lane-Walnut 113186U,CA A4598•(475)388 9604 <br /> V 15055 s W Sequoia Pkwy.guile 110-Portland,On 97222•( 24.0800 <br /> fr :11455 McCowen SFvd Worth,Suite D- Petalvina.CA 94,254•(707)792-186 <br /> , d05 <br /> Consultanl Cornpany: Gettier--Ryan Tlic, Protect Name• Farmer Unocal X0187 <br /> - UNOCAL Project Manalgor' Ni ck Nickerson 916--714--3205 <br /> Address' 6747 Stern Ct. �J <br /> Crt . --State: {;A Zip Code 91568 APE <br /> Y Dublin c <br /> Site#, City, State #0187, 437 B. Miner Avenue, Stockton, CA <br /> Telephone: 925-551-7555 FAX N' 425-551-7899 U <br /> QC Data ❑Level D[,Standard) CI Level C ❑Levet B ❑Love <br /> A <br /> Report To Deanna L. Hardling Sampler zjy1Gj pYd�D Analyses Requested a <br /> Turnaround ,EV14 Work Days U 5 Work Days tl 3 Work Days 0 Drink+ng Water <br /> Time; © 2 Work Days a iWork Day 0 2.8 Flours u Wasto Wator <br /> O Dlllef � $� �� <br /> CODE: U Mise 13 Oatecl ❑Eval ❑RemLled. 0ernol. ❑Closure +� t <br /> C118nt Dale Time Matrix # of Cant Laboratory Comments <br /> Sample I D Sampled Daso. Cont Type Sample 9 ►� . <br /> 77,90.7r--Z? _ Bag - $r)r}'b Lr 8260 <br /> •O — 1T 7al�tT Q <br /> 4 <br /> � ,� ' <br /> � <br /> 7 � Y. to <br /> Z.- <br /> Date. Time.Ig <br /> � Received By ()j � Dale-. <br /> Relinquished BY, _!I,a� <br /> Relinquished By: — Date �f Tfma947-v Received By - 14110 Date _f Time. yo 2-0 <br /> Rellnqui9hed By.- G Date. fl f v Tima <br /> Received Sy Lab, W Date_ 1 Time: 1 <br /> �1Nere Samples ReccYvt'r3 In Good CandAlan? DYes o t t 1 '�Samplos on ice? ClYes ❑ e ad of S i m Pag©—Of. <br /> To be completed upon reoelpt of report, <br /> 1)Wore the analyses requestod on the Cttain of Custody reported? 0Yes [.1 No If no,what analyses aro still needed' <br /> 2)Was the report issued within the requasled turnaround time? Dyes LI No If no,what was the turnaround lime? <br /> Approved by. Signature. Company. Date. <br />
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