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ARCHIVED REPORTS_XR0012301
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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1665
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012301
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Entry Properties
Last modified
5/5/2020 1:17:39 PM
Creation date
5/5/2020 11:56:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012301
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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LSauers
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EHD - Public
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1� ! 7 B80 Chesapeake!Drive•Redwood Cray,CA 84063•t660} 01893912M Ave,KE,SLING 181 •Boft13,WA98011 •J?M)4al-VdW <br /> M u N � O 81$Stnim Ave..Suite 8•Swi iTIBMf14 CA 9 i�l•{915)� ❑E8s111115 Montgomery,SuiE9 B•Sp�S�le,WA 99806•C924920b❑404 N Wigel lane Watriut Creek CA 9A598 (9125}MWIS 0 ❑15055 S w Sequoia Pkvry.Suite 110•Fund,oi4 9722 )62,-�J800 <br /> M O 1455 McDown Blvd North,Suft D-Petakrrna.CA 84954•(707)792-1855 GLOBAL IN T060 7700123 <br /> NConsWtant Carr any: Gettler-R an Inc. Project Nemo: t€2859 <br /> 0 <br /> JAdd'ef 6747 Sierra Ct Suite J UNOCAL Pro)ecl Manager• Nick Hickerson <br /> N C"Y Dublin Slate: U Zip Code. 94568 AFE ft: 3 Z <br /> r <br /> 4i Telephone 925-551-7555 FAX #: 925-551-7899 Site#. Ctty,State 1665 Pacific Ave., Stockton, CA <br /> Report To: Deanna L. liardin97 Sampler, 1/k%ks rQ I A `►ah OC Data: Level D(Standard) ❑ Level C ]Level B 3 Level A <br /> o Turnwound d 10 Work.Days ]5 Work Days 7 3 Work Days 0 Drinlong Water Analyses Requested <br /> Ln me: O 2 Work Days ] 1 Worst Day ]2-8 Hours $Waste Water <br /> N <br /> CODE: 0 Misc. ©Detect. ]Eval. D Remed. ]Demol ]Closure U Other <br /> Client DaleMme Matrix It of Cont. Laboratory d C/7 z omments <br /> Sample I D Sampled Desc Cont. Type Sample# <br /> t. - 1 ►► ! 16Lt Iiia 3 t/b v 1�!-C <br /> 2. Z a 1300 3 � oZ X <br /> °% L A&j_ 3Ln <br /> ►fib a83� 3 r� o XX <br /> NN• 5. AS ► ! 1ZLf 3 CA. <br /> Ce 6 HW. (0 , 16 sf 3 06 <br /> 7 Nw ..�- ►► ►o sr 3 0 <br /> a. MR.r- S ►► ► o r � � 3 n <br /> s, µw. ►� s r�sr� w 3 4 e�/y <br /> 16 <br /> -,r <br /> Relinquished By: Date* ► Q)AI TFme:01zo Received BY\AA/r-k-%-,Kf& Date Time <br /> Relinquished By. de <br /> Time: .r Received Dia e• D� T1mZ' <br /> a RelrnGinshed By Date: Time Received By Lab: Date Time <br /> 4 <br /> Were Samples Reoerved in Goad Condition? Z)Yes ]No Samples on Ice? ❑Yes ]No Nlethad of Shrpmertt Page---of-- <br /> a <br /> o To be completed upon receipt of report: <br /> 1)Were the analyses requested on the Cham of Custody reported? 0 Yes 7 No If no,what analyses ane still needed? <br /> LU 2)Was the report issued within the requested turnaround time's :)Yes If no, what was the turnaround hme7 <br /> "' Date 41 <br /> Approved by. Slgnatu Company <br />
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