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ARCHIVED REPORTS_XR0006891
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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5606
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2900 - Site Mitigation Program
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PR0541401
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ARCHIVED REPORTS_XR0006891
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Entry Properties
Last modified
4/14/2020 4:26:01 PM
Creation date
4/13/2020 3:02:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006891
RECORD_ID
PR0541401
PE
2950
FACILITY_ID
FA0006046
FACILITY_NAME
UNION OIL STATION #5098
STREET_NUMBER
5606
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
02
SITE_LOCATION
5606 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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0 1 <br /> IM AaEFIVCES NCOPORrp • <br /> 2401 Suinwell Drive,Suite 4W CHAIN OF CUSTODY 9509346 - <br /> Conoord,California 94520 <br /> Tel.(510)602-5100, Fax(510)689-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHD.ITAN SIS # 5.D qg CITY. ` c-k4o n TURN AROUND TIME: <br /> D � <br /> WITNEstIaNG AGENCY ADDRESS. Sha A <br /> 6 �czc. j,j> -r/� C7 <br /> �] o <br /> SAMPLING a H a o <br /> MARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION H RA H A H eo RE <br /> C--3 vg4 x 094G21 <br /> E S Z -- X X 09#22 <br /> �s 17 A� <br /> x X 09 623 <br /> It <br /> i <br /> RELINQUISHED BY fDATElTIME RECEIVED BY, DATEITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> 1 HAVE ALL SAMIKES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> S•'�� 2 t 700 f <br /> (SIGNA URfj { GNATUR , d 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZW? e/ <br /> (SIG TURF) {SIG l� 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> {SIGNATURE) (SIGNATURE) 4 WERE SAMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> ISIGNAIURE) (SIGNATURE) SIG NA E. TITLE: DATE, <br /> ate All water containers to be sampled for TPHGIBTEX, 8010&8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers are <br /> unpreservad. <br />
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