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ARCHIVED REPORTS_XR0012732
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_XR0012732
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Entry Properties
Last modified
4/14/2020 4:01:26 PM
Creation date
4/14/2020 1:28:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012732
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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EHD - Public
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.AAAIN.O� CUSTODY RECLD <br /> • <br /> 'SAMPLERS.,(Sig P'vrurml • <br /> SHIPPING IFIO ORMATtoPt <br /> 'hone: rte`c'r `ill, ? r <br /> Shipper .1. 1 k I <br /> Address k a i y j-t •• <br /> f } .-Date Shipped Y;•j <br /> Shipment Service <br /> r" Airbill No. <br /> ATTENTION:-!l-1rl A• d Q;!i ^4J <br /> ' 'Cooler No. <br /> Phone No. � Z� , �.I r' <br /> Relinquished shed by:lsrsrr.rer•) Re eived b <br /> `I y: rsrgnatural �JDate/Time� <br /> Ihi 4 3 l <br /> 9i QuiBhed Dy:is nature) _ Re ived by:r5rgnarurej <br /> Date/Time <br /> e nqu s o y:fsfpnrrurr <br /> ,eCBFVed by:rSrgrralure) <br /> Y�. - Late/Tune <br /> R-elinquished by:rsrpngrur•) , <br /> �' Receive}ar i/aporata by':rS+g�awa) ate/Time <br /> 'Analysis laboratory should complete,"Sample condition upon receipt",Qia,below,sign and return top copy to <br /> J.H.KLEINFELDER&ASSOCIATES, 1975 E"Street, Fresno,California 93706. <br /> Sample Site Date Analysis <br /> Number Identification SampEe condition <br /> Sampled P Requested Upon Receipt <br /> ------------ <br /> �•,,, mar ,a i�� I <br /> 7-7,"1, riy V4r C ehLf.fAiW f <br /> ,.v •,';rte" -- -- `�i".�•• AGS 1_O'� <br /> LAB INSTitt1CTI0NS: laboratory reports should reference and be billed by site ID/ and contain the following. <br /> 111 sumrary of analytical methodology and QA work.'(yblanks, spikes, duplicates) <br /> ?� dates for (a) sampling, (b) lab receipt. W extraction, (d) injection/analysis <br /> decectionlimits for all constituents analyzed-for and reporting of all constituents detected which were not <br /> specifically designated <br /> 1 (a) <br /> ls) <br /> t <br /> :t smite - Saagler <br /> Canary - J. H. Kleinfelder 8 Associates Pink -Lab Courtesy Copy <br /> 1HJ1&A Forex hg.W <br /> ► DOCMM <br /> CANWr BF <br /> ]DUE TQOR <br /> CONDITION pF � <br /> LI cam, <br />
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