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ARCHIVED REPORTS_XR0012334
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012334
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Entry Properties
Last modified
5/5/2020 1:20:36 PM
Creation date
5/5/2020 12:10:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012334
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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❑680 Chasapeake Dave■Redwood Cay,CA 94063-(850)3B 00 J 18939 1201h Ava,N E Suite 101-iiolheii,WA 96011 -(206)4 1-9200 <br /> UNCWALU 819 Striker Ave,Suite s i Sacrammrlto,CA 95834•(916)9? -3 East 11115 FA011190tne ry,Suto B•Spokane,WA 99208•( 92W <br /> u 4o4 N Wig21 l ane-Walnul Creek,CA 94598 9(925)988-9640 ,15055 S%4 SequoiA Pkwy,Suite 110 w Nrtiand.OR 87722•(5 3)624 9800 <br /> !zk' K U 1455 hicDowell Blvd North,Suite 0•Petaluma,CA 94954 (767)792-1805 <br /> Consultant Company Gettlar-Ryan Inc. Protect Name Former Unocal 02859 - <br /> Address 6747 Sierra, Court, Suite J UNOCAL Project Manager Nick Hickerson 916-714-3205 <br /> City flublin State CA Zip Code, 94568 AFE 9 4-1 <br /> Telophons 975-551-7555 FAY 4€. 925-,551--7899 Site#, City,State (2859, 1665 Pacific Avenue, Stockton, CA C: <br /> QG Data 0 Level D(Standard) U Level C ❑Level B 0 Level A U <br /> Roport To Deanna T.. 1larding Sampler 5c <br /> Analyses Ra (tested <br /> Turnwound 10 Work Oays ❑5 Work Days ❑3 Work Days 0 Drinking Water Y 4 CL <br /> T1me. 2 Work Days ❑ 1 Work Day ❑2-8 flours 0 Waste Waler <br /> CODE: ❑l uqc ❑Detect 0 Eva) 0 Remed t 1 Oomol 0 Closure ❑01her <br /> Client Date/Time Matrix #o1 Cant. Laboratory r ` <br /> Comments <br /> Sample I.D Sampled Desc. COR1 Type Sample 1t <br /> 1 l - osy: AlTHh, <br /> f -a7-dam TBA,00%Is"THIL <br /> 'N'0, 11/1 -zn%7 ED3 <br /> - <br /> 5 A� - <br /> M. <br /> a <br /> /R� t a <br /> Date Time Received By: to #1 - Date 1 /, A- Tlmo: <br /> Relinquished[3y N !�l�D _ � <br /> Relinquished By: !��� Dale It 1'1 Tirna ' Roceived By: Date: /�f/ Time: 7 <br /> flelinquished By: Diate: /y/Z,• Time Received By 1 e: tL Time uq <br /> Were Samples ileoemod fn Good Condition? L)Yes ❑No Samples an loe? U Yes O No Method of Shipment _ Page_of <br /> To be completed upon receipt of report <br /> 1)Were tho analyses requested on the Chaln of Custody reported? O Yes 0 No If no,what analyses are still needed? <br /> 2)Was the rerrl issued within the requested turnaround We?,, ❑ s No If no,what vr$s the turnaround tlma7 <br /> Oake. <br /> Approved by _ L � 6 n � _Signature Company t�"vl-� <br />
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