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ARCHIVED REPORTS_XR0006906
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_XR0006906
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Entry Properties
Last modified
4/14/2020 1:42:22 PM
Creation date
4/13/2020 3:47:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006906
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
Scanner
SJGOV\sballwahn
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EHD - Public
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M P DO Services, Inc. <br /> 2401 Stanwell Drive.Suite 400, Concord, CA 94620 <br /> i <br /> Td. (510) 602-6120 Fax (510) 689-1918 J <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS # 60V CITY' S fa c k-p n TURN AROUND TIME <br /> Lua <br /> WITNESSING AGENCY ADDRESS 6-6,0 6 /q.C-'A 4i . ��JL- <br /> G O <br /> SAMPLING p=- H a O W REMARKS <br /> SAMPLE ID NO DATE TIME ATER TiA COMP NO OF CONT LOCATION F- m <br /> MW 10 6 f 1/9 If 11;5f q VD141 mCEJ <br /> �..wl X K � X 4091,37s lei <br /> p. x K z X X 400,319 <br /> Mw 2 i0'u. x X '� t X x 409�13fl0 <br /> /4w f3 'K x 40911381 <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DATEITIME RECEIVED BY 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> ISIGNATUREI (SIGNATURE) 6,-/2o/+r Lr 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> [SIGNATURE) ' G� (SIGNATURE 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> tSIGNATUREI ISIGNATUREI ,,II 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> [SsGNATUflE) [SIGNATURE) SIGNATURE TITLE DATE <br /> L /z /ti ) <br />
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