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ARCHIVED REPORTS_XR0006932
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0541401
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ARCHIVED REPORTS_XR0006932
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Entry Properties
Last modified
4/14/2020 1:54:04 PM
Creation date
4/13/2020 3:57:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006932
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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I <br /> © Sl nyICES INCORPORATED CHAIN OF CUSTODY <br /> ' ' ° Y� { 8 <br /> 0 <br /> _ 2401 Stanwell Drive,Sults 400 <br /> Concord,California 94520 <br /> Tel (510)602-5100, Fax(510)689-1918 <br /> ANALYSES REQUESTED <br /> SAMPLER <br /> SNS�A�0 9� CITY S� ��710� TURN AROUND TIME: <br /> VARTKES TASHDJTAN &_� 14 .- <br /> WITNESSING AGENCY <br /> SINADDRESS 56D6 Pte, IPq <br /> O <br /> SAMPLING a H a Pq O "CD <br /> 4 REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION [+1 M FI A H Go <br /> ,0.33 754 b it T�cT�o N <br /> MG1 !{ .f 3 -s- x X �c X X 60".1 755 MT5 5-ppb- <br /> Z 7 3, aw X x `' Y x 50.20756 <br /> x x 4 � x x0� '7S'7 <br /> �9 �3 <br /> N I LitX 0 '758 eC <br /> Ml tS ,z)PAYX 4 x 0 3 '759 4445 ��(9 <br /> Mk/ 4 Pyr' k x �, 4 X 0. 760 <br /> 03 761 <br /> RELINQUISHED BY, DATE/T E RECEIVED BY. DATE/TIME THE FOLLOWING MUST 9E COMPLETED BY THE LABORATOUR ACCEP11NG SAMPLES FOR ANALYSES <br /> S/ r ' * �1I` 1 HAVE ALL SHAMUS RECEIVED FOR ANALYSIS BEEN STORED ON ICEt <br /> 6"to <br /> o l� <br /> (SIGNATURE) (SIGNATURE) Z WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SIGNATURE) {51GNAT 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? _ 44 <br /> (SIGNATURE) {SIGNATUREI 4 WERE SAMPLES IN APPROPRIA E CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) ll( <br /> CIO SIGNATURE, TITLE. DATE, -31111( <br /> �z q(. <br /> Nots- All water containers to be sampled for TPHG/BTEX, 8010 & 8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3. Ap other containers are <br />
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