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ARCHIVED REPORTS_XR0012053
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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MINER
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3500 - Local Oversight Program
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PR0541875
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ARCHIVED REPORTS_XR0012053
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Entry Properties
Last modified
3/16/2020 5:23:20 PM
Creation date
3/16/2020 2:23:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012053
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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I <br /> if IiIII , <br /> r 1 /P�/� w ■ >680 Chesapeake[erne•Redwood City.CA 94053-(650)WA-9fi00 ❑18999 120th Avc,N E Suite 101•Bolhel1.VIA 98411•(246)4819200 <br /> [U ��/1[VIL`1lL U 819 Striker Ave I.Suite 8•Saerarnento,CA 05N4"-(910)821-9600 ❑East 11115 Montgomery,Sui{a 13•Spokpne,WA DOM6(609)9249200 <br /> It <br /> Q 404 N WI9e1 Lane a Walnut Creek,CA 94.599•(925)988 96000 15055 S W Sequoia Pkwy,$ui1A 110 Portland,OR 97222 (543)624.9800 <br /> U 14S5 McDowell Blvd HOr1lr,Su rte D 1�Yetalurria ,CA 84954•(707)702 IM GLOBAL ID$ 70607700539 <br /> Cortsullant Company. Get tler-Ryan Inc. j� Project Name Former Unocal 10187 _ <br /> Address UNOCAL Project Manager: <br /> 6747 Sierra Court, Suiteil,l l Nick Nickerson 916--714-3205 <br /> city. Dublin State CA Zt�CodaAFE # <br /> 11 9,4568 <br /> Telephone 17 11 11 - <br /> P 925-551-7555 FAX ' 925-551-,7999 Site f#. City, State 00187, 437 bast Hiner Ave. , Stockton, CA <br /> Report To Deanna L. ltaidfng Sampler: r<lc lrf�j 4-a / QC Data d Level D(stanaardt ❑ Level C 0 Level 13 U Level A <br /> Turnaround 10 Worts Days ❑5 Work Days 63 Work days U Orinking Water Analyses Requested � <br /> II d <br /> Time: , ❑ 2 Work Days ❑ 1 Work Day U,'2-8 Hours fl )I Waste Water 0 <br /> IE <br /> CODE; ❑Mise ❑ Detect ❑EvaT D Remed ❑Demo1 l]blosure ❑anter ' <br /> `J <br /> Client Datafrimo Matrix # of 11Corit Laboratory 'b fl� Camrnonts <br /> Sample I D Sampled Qeso Cont !>Type Sample# <br /> i OW I ?-v I <br /> ff <br /> 3 t� foo IGzf - �' �� �i -c3 _ tftt=I,t.iiir, _ J <br /> 1'Ab1E <br /> 4. u - �It �. lis <br /> f <br /> 11 X Y, <br /> t� — _ 11 {0 . 133x' -06 X yC _ <br /> 8 U - G <br /> 10 tA t $t�D7. tL2r �-• iI �! }� � � <br /> Relinquished By, Dato- i� Time d9 Received ByA&V 9 <br /> Gate r y Time /1 s� v <br /> � Il <br /> Relinquished By. Date. ! ` Tmo Received By' Dam Time <br /> Relinquished By. Data: �s 1 Received By Lab Date: Tlrne- <br /> ' <br /> Were Samples Received in Good Condition? K311No Sara s on Ice? Ayes v No Method of Shipmentf� Page of <br /> To be completed upon receipt of report <br /> 1)WeAWe analyses roquosted on the Chain of Custody reported? U Yes U No If no,what anafysos are sllll rfeeded? <br /> 2)W4W report issued within the cealuested turnaround Umo? 11 0 Yes WO If no,what was the turnaround time? <br /> II `� <br /> Annrnninrl htr• 1169YU/ z #,#A1YFV Sil7nsitufe: lQumpany. A —1� - _ _Ra <br />
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