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ARCHIVED REPORTS_XR0012319
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1665
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012319
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Entry Properties
Last modified
5/5/2020 1:12:40 PM
Creation date
5/5/2020 12:05:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012319
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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U 88S Jarvis t)rrve•Morgan NI'I,CAM 16(408)776 9604 o FAX 82-i.908 _j 18939 12oth Ava,N E Suite 101 •6othell,WA 98011 :00614%g200 1 ,)Fes)11115 Montg4mary Suite B.Spoksno,WA 99206 ( <br /> UNO AL U 6195irrket Ave,SvIle a•Sacramenlo,CA 95834'(916,121- <br /> O 404 N Wigei Lane•Walrtui Creek,CA DS5^S 4(925)4x8 9644 <br /> 115455 S W S equo►a Pkwy,Suite 110 ftrilaind,OR 91222•(543)fi24 9800 <br /> E3 1455 McDowell Blvd Norill,SIge 1),pelaturna,CA 94954,(747)792-IM GLOTIA , ID4 T0607700123 <br /> Project Name Former Unocal #2859 <br /> Consultant Company Get tler-ft All Iuc. - — <br /> Address' UNOCAL Projoct Manager((equired) Nfck �lickeisan 916-714-3205 <br /> b747 Sierra Cnurt, Suxtc_ J <br /> City- State. CA ZIP COdO 94566 AFE # <br /> Y Pubii n C <br /> -� Site#, City,State X2$59 1655 Pacific Avenue, Stockton, CA m <br /> Te[epnan0 925-551--7555 FAX# r- ,_ U <br /> 92� 551-7899 <br /> / QC Dala- ❑Leval D (Standard) U Level C ❑Level B ❑Level A Y <br /> Report To Deanna L. Hard iu Samplerrr,Itl�fb�v <br /> Turnaround 7 io Work Days C]5 Work Days 'JaY3 Work Days ❑Drinking Willer <br /> Anaiysos W <br /> quosted t1. <br /> Time: J 2 Work Days 0 1Work Day ❑2-8 Haurs U Wasic Water <br /> CODE: ❑ Mise 0 Detect 0 EV81 0 RO Other <br /> ❑Cemo1 ❑Closure �? <br /> Clieni OatelTime Matrix fi of Cont Laboratory fti{ �' Comments <br /> Sample 10 Samplad Desc. Cant Typo Sample# <br /> AA <br /> 2 /VP- <br /> ' r �AkiR,TBS. i est; <br /> _ %atx.'& <br /> s Jy1(,(�� t7-o 11r1� ftJ _ bS ' <br /> 0 <br /> 4 - <br /> 5. <br /> 6 <br /> 7 <br /> 8 <br /> ip ............L .......... <br /> Dole r�r Time: <br /> Relinquished ByCGlood <br /> Date�3-/-a Time,fGrld Raca1ved By. _ II . <br /> j Rotrnquishod ByDate b Time-`�• �� Received By: <br /> Datg3l5IZ3 Time.11•q0}N <br /> Date` o Tlme'l�,11 deceived By • Date Time. <br /> Rollnqufshod By3 <br /> "e� les an Ice'? ❑Ys a Pa a of <br /> Were Samples Recelvan? Y o Samp <br /> To be completed upon(ecelpt of report, <br /> 1)wore ttta analyses requested on the Chain of Custody reported? ❑Yes ❑No If no,what analyses are still needed? <br /> 2}Was the report issued within the ,equested turnaround time? ❑Yes O No It no,what was itte turnaround tim©?, <br /> / L-/ , r Signature• Carnpany <br /> Approved by. - - <br />
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