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ARCHIVED REPORTS_XR0012328
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012328
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Last modified
5/5/2020 1:16:01 PM
Creation date
5/5/2020 12:09:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012328
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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© I .,t <br /> SERVICES INCORPORATED CHAIN 0 != CUSTODY <br /> + 2401 Stanwell Drive,Suite 400 9511246 <br /> ' <br /> Conoord,California 94520 f <br /> Tel (,510)602-5100, Fax.(510)689-1918 ' <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> TURN AROUND TIME: <br /> VARTKES TASHDJIAN <br /> SIS # 7-.?3'7 CITY <br /> ADDRESS: f E,L a �� — <br /> 44 04 1 <br /> VATNEbSiNG AGENCY a a� <br /> th C) <br /> SAMPLING a H A4 �i O c REMARKS <br /> SAMPLE 10 NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION EI Q H A H ao <br /> PLy X 3 t,Jr.�p X i].1 L26 lB <br /> 112""627 <br /> Aw 3 z s, 3y X L X 111 28 <br /> IL111 29 <br /> Cr X 111 31D <br /> Aly <br /> 5 11 1 <br /> 3 5 111 32 <br /> x K X *11'-3-3 <br /> 5"I'la 34 <br /> RELINQUISHED BY DATE/TIME RECEIVED BY DATE/TIME THE FOLLOWING MUST eE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> 11191 1 HAVE AL1 SAIAPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> ISIG T R } 11r IdrgS (SIGNATURE) WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> ( r <br /> ?Soto ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> ISIGIC70 ISI UR&) _ <br /> �Ia13, d <br /> (SiGNATURfJ {SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) (SIGNATURE) SIGNATURE. TITLE. ATE: <br /> g1 llq �; <br /> I <br /> o • All water containers to be sampled for TPHG/HTEX, 8010&8240 are preserved with HCL All water containers to b sampled for Lead or Metals are preserved with HNO3. All other Containers are <br /> unpreservetf <br />
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