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ARCHIVED REPORTS_XR0012125
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_XR0012125
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Entry Properties
Last modified
3/16/2020 11:17:33 PM
Creation date
3/16/2020 2:47:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012125
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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WA <br /> v&Ar.1 Ws auris 004.1�lorgalt rtar,CA 95037•(408)776-9600•FAX(408)782_-6308 ji 18939120th AVG..N.E.Salts 101;Bothell. <br /> W 8019206(2 0?9}124.9200 <br /> U N P L :1$19 Striker Ave.,Suite 8.3actarner►ro.CA 95834•(916)921 9600 31SO EFIM ii18 MantgoSequoia <br /> Pkwguitoy, <br /> Sul 8 Spokane, <br /> J 404 Al.Wigct Lane�Wa1nu1 Creels,CA 94598•(9�5J 988-9600 �15455 S.W.Sequela Pkwy,8uiio 110■Portland.ON 97222'(503)fi2�i 960a <br /> J 7455 Mcomvel Blvd.North,Suite 0•Pefulurms,CA 94934•(707)792-1965 GI,{IRAL ID# T060770a539 <br /> Consultant Company: Project Name: Fortner Unocal #01.87 _--.. -•- <br /> _ Gettler�tt an Inc. <br /> Address, _ 6747 Sierra Court, Suite, J UNOCAL Project Manager(req&ed): Nick i9iekereon 916--714--37.05 <br /> State, Zip Code: 94568 AFE 8: <br /> City. Dublin CA .. -- -- --- . ------ �. <br /> Site ff.City. State:00187, 437 i;ast Flitter Avenue, Stockton, CA � <br /> Talephone: 025-55'1-7555 FAX#: 925-551-789 _�__ _._.. _._.___ <br /> Now QC Data: U Level D(Standards U Level C R Levet 13 D Level A <br /> FteportTo: Deanna L. Harding FSa—MPIer: ,�im ,rJ�/ � <br /> Yercrrarourlli V t0 Work Qays p 5 Work Days Q 3 Worts Days D Drinking Water <br /> AeafysQs Requested o, <br /> 4 Time: ❑ 2 Worts Days 31W*Fk Day u 2-8 Hours 3 Waste water <br /> I. D Reined: ❑Qem111. 13 Closrire D Other ' <br /> CODE'. ❑Miso. 7 Detecl. 0 Eva <br /> Client Datefflma Matrix # of Coni. Laboratory c� '\ Comments <br /> Sample LD Sampled Desc. Coni. Type Sample# / ` 2:1 <br /> t. V s-0 3,127/03!10 <br /> �[ x Oxy"s by 8260 0 <br /> 2. <br /> 3. �71u3 1 'rhr+lr' 3 <br /> � � o <br /> 4. <br /> 5. <br /> 6. <br /> 1,7 <br /> t _7. s/ y + <br /> to. AIP—1-11 I blo.? IF,66 <br /> Relinquished By., <br /> Date: 0'07 Time:/rod Received By: � Dald• Time: <br /> s <br /> Relinquished 13y:ZIA', <br /> D8te'.�//P3 Time:J3`00 Received fay: aate:� - lime: 13 � <br /> Relinquished By:! �, Datb Time: Received 8 :�Ll' f l ta: Time: �,3 <br /> Wena Samptos Fle ehfW in ood C.gnditlon7 Pies C�7�No" ! Samples on Ioe? Olds ❑No Me1t� o p cnt d Page <br /> Ta be completed upon receipt of report: - <br /> 1)Were the analyses requested on the Chairs of Custody reported? U Yes (3No If no,what analyses are still needed? <br /> 2)Was the report Issued within the requested tumamund time? ©Yes 0 No !t no,what was tho turnaround liras? _ <br /> Approved Signatur . Company:G Q - D <br />
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