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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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i <br /> 10 680 Chesapeake t)iive- RedwW Ciry.,CA 34463 r(650)354-9600 o 19939 120th Ave,tt E Suite tot -aothalr,WA 98011-(T0O)481.9200 <br /> UNOCAL C1 819 Striker Ave,Suile 8-Sacramenlo,1CA s 15834'(915)921-9680 0 East 11115 Montgomery,Suite 8-Spokono,WA 99208-(.5109)924.9200 <br /> 11 <br /> O 404 N Wiget Lane-Walnut Creels,CA 194598'-1920 9118 9&00 U 15055 S W Sequoia Pkwy,Suite 110 ik Portland,01197222-(543)624-DOW <br /> D 1455 McDowell Blvd Mtorth,Sude,D-Pelaluma, CA 04054•(707)792 INS <br /> Consultant Company Ge t tler,t;yan Inc. Project Name Former Unocal 02859 <br /> Address. xxxX 6747 Sierra Court, Suitc;J 1 UNOCAL Project Manager. Nick Nickerson 916-714-3205 _ <br /> G4. Dublin Stene Q Zip Code��94568 AFE# <br /> Tota hone FAX H. 1925-551-7899�kSite #, City, State. <br /> P 925-551-7555 Y. 82859, 1665 Pacific Avenue, Stockton, CA 40 <br /> Report TO' Deanna L. Hauling Sampler. pW 4y ,t{ QC Data Ct level D(slandaM ❑ Level C ❑ Level B ❑ Level A <br /> JI Turnaround ❑ 10 Work Days U5 Work Days C13 Work days O Dnnking Walar Analyses Requested <br /> TimQ. ❑ 2 Work Days 4 SWork Day 1 Q 2.6 Hour's U WaslQ Water $ � <br /> { ODE: u Mtsc 7 Detect ❑Eval 0 Reined 0 Dam,vl iU Cfcsure ©anter <br /> Cllont Date/Time Matrix # of Cont f Latroratory tl <br /> Sample I D. Sampled Dose Cont Type #r Sample # Comments <br /> , <br /> X-X <br /> 2 Lam' r a _ TBA,l?tvr�1:581=, .0— Hunt*1,ZF?C,1, � <br /> 1'1 <br /> } <br /> 5 <br /> A-14311 r 7- <br /> �/a ' - I —gyp - 0 <br /> 10Pl'o'/� by % ° <br /> iF II R <br /> Relinquished By Dataf�fQ�� Time 1!rir5,6 Received By. t4, Date It h1(- Time <br /> Relinquished By. 7 $ Datel ft/11,1[ jjTfme, Received By Dene ((-f f Time- <br /> Rellnquished By_ I� I Time Secerved By LTime' q'�5 <br /> Wore Samples Aeoe and fn Goad Condltlon? ❑Yes 0 No jj Samples oil lce? ❑Yes ❑No Mathvd of Shipment Page_�of <br /> r, <br /> To be comploted upon receipt of report i <br /> 1)Were the analyses requested on the Chain of Custody,repdrtod't --)Yes U No If no,what anatysos are still needed'? <br /> 2) o report issued within the roquosted turnaround time'? CI CIYe N If no.what was the turnaround trine? <br /> Approve ` `L. ,�se�[� Signature I orrlpany ��- <br />
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