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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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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_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
Scanner
SJGOV\sballwahn
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EHD - Public
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z <br /> 0 C k <br /> © 24 O SERVICES INCORPORATED CHAIN O F CUSTODY :J u ' <br /> 01 Stanwell Drive,Suite 400 <br /> Concord.California 84520 <br /> Tel (510)602-5100. Feat.(510)699.1918 <br /> ANALYSES REQUESTED <br /> rj� UNOCAL <br /> � <br /> SIS # 5�� CITY. Sc�'L�'� TURN AROUND TIME: <br /> ^ <br /> VARTKES TASHDJIAN W <br /> S. , I' _ la <br /> WJTAGENCY ADDRESS: 60� <br /> NE581N0 Cn <br /> O <br /> C)O '{ <br /> REMARKS <br /> SAMPLING Ow <br /> DATE TIME WATER GRAB COMP NO OF;C�ONT LOCATION N <br /> SAMPLE ID NO <br /> e7s <br /> 03( 762, <br /> 03( 1763 <br /> OL 1 764 <br /> RELINQUISHED BY. 0IIIIIIIIIIIIIIDATE/TIME RECEIVED 9Y. DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FORANALYSE5 <br /> -3/,'//g 6 W 3�t,0 1. HAVE ALL SAMPLES RECUM FOR ANALYSIS BEEN STORED ON ICE? <br /> p <br /> 2, WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SIGNATURE) f`�t� (SIGNATURE( - <br />� (SIGNATURE( 3 DID ANY SAMPLES RECEIVED f0A ANALYSIS HAVE HEAD SPACE? <br /> tSIGNATURE) <br /> iv <br /> t51GNATUREI 4 WERE SAMPLES IN APPROPIi1ATE CONTAINERS AND PROPERLY PACICAGE01 <br /> tSIGNATURE) i <br /> ISI a!` <br /> f ,Qp SIGNATURE' <br /> TITLE. DATE: 3r <br /> (SIGNATURE) Q�a <br /> II water containers to be sampled for TF'HG/BTEX, 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 /> Nota- A <br />
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