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ARCHIVED REPORTS_XR0012356
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012356
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Entry Properties
Last modified
5/5/2020 1:27:30 PM
Creation date
5/5/2020 12:13:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012356
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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' D 680 Chosapeako Ortm•Redwood City,CA 94063•(650)36* a 18935 Voth Ave,N E Suite 101•Botholl,WA 98411 @-(286)000 <br /> U A L 01819 Sinker Ave.Suite 8•Sacramenla,CA 9W4•(8113)921-9600 0 Cast 11115 l iontgomer%Bode 8 Spokane.WA 99200•(M)924 9100 <br /> U 4D4 N Wiget Lane•Walnut Creek.CA 84598•(925)988 9500 U 15055 S W Sequoia Pkwy,Suite 110•Nriiand,OR 97222•(5W)624 98W <br /> ❑4465 McDomll Blvd North,Sude 0 o Petaluma.CA 94954•(747)7921665 momL IDI t0607700123 <br /> COnsullant Gornpany: Gettler-R an Inc. Project Name <br /> _ Farmer Unocal ta`2859 <br /> Address- — 67117 Sierra Court, Suite J UNOCAL Rrolecl Manager Nick 'Nickerson 916--714-3205 <br /> Lily. Dublin State: CA Zip Code 94568 AFE# <br /> Telephone- <br /> 925-551-7555 FAX # 925-551-7999 Silo #, City, State: P2859, 1665 Pacific Ave. , Stockton, CA _ a, <br /> Report TO Sampler QC Data Level O stands ❑ Level C a Level B C1 Levet A <br /> Deanna L. llaxdin la S T�s� fes-. � ( � <br /> .sc <br /> Turnaround 10 Work Days ❑5 Work nays ❑3 Worts Days 0 Drinking Water Analysea Requoslod CC <br /> IL <br /> Time a 2 Work Days Q 1WO[k Day ❑ 2-8 Hours waste Water <br /> CODE: u mise Q Detect :)Eval ❑Remed ❑Dernol ❑Closure O oilier <br /> CUGAI Dateming Matrix # of Cont Laboratory � �� Comments <br /> Sample I D Sampled Oesc Cont Type Sample# ti <br /> 1. V, 0 Ns' <br /> rf dAa 7� ?� — c �•s-h,TBF, --- <br /> J.} �' b r + „� 3 ,.r✓ THA.ME,Urltr, <br /> TAhir,1 2DCA, <br /> 3 ,� f Ia L !�)� && 3_ �c _LI trnt a <br /> 4. MW 33ol 18 <br /> -14 <br /> 8 IUGR- Sifa1_ 1sx� -0 , <br /> 9 Mir!- S Y Ibb 0 4 _ `0 i -- - a <br /> 10 44 ,1. 10 sz. <br /> a <br /> Relinquished By Dal o.�jll rpm, Time Do Received By Dale. /11 d Time <br /> Relinquished By Date Time Received By _ - bate: Time: <br /> Rolinquished By Date- Time. Racelvod By Lab* Date, Time <br /> Were Samples Reoelved in Good Condition? Aos ID No Samples on lcO IlYes ❑No Method of Shipment Cf t_�'►` Page 1 al 3 <br /> .To be completod upon receipt of report - , <br /> 1)Were the analyses requestod on tho Chafn of Custody reportedry ❑Yes u No It no,what analyses are still needed? <br /> 2)Was the report issued within the requested turnaround lime?ff,�7 Yes ❑�N[of, If iso,what was the tturriiaaround tune? 442A-4 <br /> Annrntirari Ne 1 hQ.lV I G l'TlAS�I RIMA'1111ra,( '/l/�,/� �� i l4�fI119(IU' V'+e �V Dale, <br />
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