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ARCHIVED REPORTS_XR0012300
Environmental Health - Public
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1665
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012300
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Entry Properties
Last modified
5/5/2020 1:32:59 PM
Creation date
5/5/2020 11:56:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012300
RECORD_ID
PR0545638
PE
3528
FACILITY_ID
FA0005998
FACILITY_NAME
UNION OIL SS#2859
STREET_NUMBER
1665
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
13702031
CURRENT_STATUS
02
SITE_LOCATION
1665 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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o <br /> a 6BQ Chesapeake Dim <br /> •(tcdwoo[I CLly, AS 54063-(854)m4 moo O 18939 120th Ave,N C SUO 141 •Notheil,WA 98011 •(206)481-9200 <br /> 1UN CAL R 819 Stnkcr Avo,Suite 8•SAetartienta,SCA 951M•(916)921-9600 0 East 11 t15 MOnIgornery.Suite B•Spokane,WA X206.(509)924-9200 <br /> U 4134 R Wiget cane•Walnut Creak,CA 94598 (925)980-96M U 15055 5 W Sequoia Pkwy;Sr1rt8 114-Por 0800.OR 97222-( 03)624-95M <br /> O 1465 McDowell SIV&North.Sude b•Pelalumla,CA 84954•(707)792-18115 <br /> it H GLOBAL IDJ T0607760123 <br /> Consultant Company �� Project Nacos 1I <br /> Cettler-Ryan Inc. �a _,Z;ftiS"1. tS- Fortner Unocal 92853 <br /> Address. 6747 Sierra Cfluirt, Suite ,I �` UNOCAL Project Manager. - - - <br /> _ � � 9 Nick Nickerson <br /> JP_ u 1 <br /> City Dublin Stale, CA Zip Gode.1� 94568 FE 4: <br /> Telephone. 925-551--7555 F+AX 0. '` 11 Site li, CI ,State• <br /> 1925--551„ 7899 tY -1 2859, 1665 Pacific AVe. , Stockton, CA 2) <br /> Report To' vanna L. Har,,3 ng Sampler. kt ��17i 1� %cin QC Data LOvol D(slandard) ❑ Level C a Leval S 0 Levet A � <br /> Turnaround 10 Work Days ❑5 WorK Days O 3 Work Days O Drinking Walor Analyses R � <br /> 1, r a 9 y equested G <br /> Time ❑ 2 Worcs Days Q Work Day Q 2.8 Hours �f, a- <br /> 1d,rYaslf7,W31aT <br /> CODE: a Mise ❑Ootact 0 Eval ❑Ramon U Demai QClosure a Other <br /> �y <br /> Client DatefTlme Matrix #of ' Coat Laboratory <br /> Sample 1 D. Sampled Dese. ContType Sample 4 Carnments <br /> z/oMax, Ink 4,D AA <br /> j - - 7(7xys—A11iir� C3 <br /> 2 PI �. � � i �( TUA,IIIM6ItJI3F. 0 <br /> �- ri 6,1,20CA 0 <br /> 4- <br /> 5 1A1,T� 7r1. -4 X 'A'16 <br /> - - -— - <br /> T + C1jSrj <br /> IR <br /> 10_ op - <br /> - <br /> f_ Relinquished By - - Date�z,[Plo2. Time:1/0 D Recefved By: U44_ - Date 2-/1-7 12, Time, <br /> Relinquished By, _t)ate 11 Time: Received By: Date _ Time 1> <br /> Relinqulshod By: Date, I Time: RocoIrd By Lab Date* Time <br /> Were Sa inpies Roccived in Good Conditton? ❑Yas U No 1 1 Samples on Ice? DY" Q filo Method of Shrpmerit _ _ Page_of <br /> it <br /> To be coqWted upon receipt of report. <br /> 1)VYJWhe analyses rcquosted on the Chain of Cuslody reported? U Nv If no,what analyses are still needod? _ <br /> 2)Was the revon issued wifhla the renuested lufnaroundltimO U Vi'Q t7 Nn If nn whO wqQ lhn IIIrA2rnl in tha9 <br />
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