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ARCHIVED REPORTS_XR0012358
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012358
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Entry Properties
Last modified
5/5/2020 1:30:40 PM
Creation date
5/5/2020 12:14:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012358
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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CoUNCOAL ❑EM Chesapeake DM•Redwood Qtj&CA 94063•(650) O le939 12MAve.N-E_Sure tU1 .13dttpll,WA 9e017•(2M 481-9= • <br /> E1819 Sinker Ave.,Sults 8.5acramenlx%CA 95834•(916)ap 0 Fast 11115 Montgomery, Style B■Spokane.WA98206 )9Q4-9200 <br /> Z ❑404 N Wiget Lane•Walnut Creek.CA 94598•(925)911&9600 01x055 3 W Sequora Pkwy Surto 110•Portland,OR 9 •(503)824-9800 <br /> ❑1455 Meao�weil Bard.N�Suite a•Petalrarm,CA 94954.1707)rs¢less <br /> rn GLOBAL ID# T0607700I23 <br /> oPn Consultant Corrlany: <br /> m Gettler-R an Inc. ProjectName- Former Unocal 192859 <br /> Address <br /> 6747 Sierra Court Suite J UNOCAL Project Manager: Nick Nickerson <br /> rr) Dublin Stale CA Zip Code 94568 AFE #: <br /> r- Telephone: 925-551-7555 FAX#: 925_5,51-7898 Site ilii City, State:#2859, 1665 Pacific Ave. Stockton CA <br /> Report To. Deanna L. Hardin Sampler � ,. j Teis�j 1�r� OC Data: Level D (standard) ❑Level C ❑Lewl B 7level A <br /> N <br /> Turnaround e&10 Wade Days Ct 5 Work Days ❑3 Work Days 3 Drinking WatBr Anatyses Requested <br /> Time. ❑ 2 Work Days ❑1 Work Day ❑2,B Hours Wader <br /> o CODE: 3 Misr: 0 Detect t3 Eva, ❑Remwl ❑Demol 3 Closure o other <br /> Client Date/time Matrix 9 of Cont Laboratory <br /> Sample I D Sampled Desc CoType Sample# 'b Comments <br /> nt. <br /> l/v 4 <br /> 0 <br /> 2. M -2.o t S '4 _ 8 Ox)•s-rrrBF. <br /> TBA.DWE,ME <br /> Co 3JAW - 2- 1 TAMe. 1,2DCA <br /> ca 4 EDB.lrthand <br /> `n 5. <br /> rM <br /> O` <br /> 7. <br /> 8. <br /> 9 <br /> 10 <br /> J Relinquished By, 4t <br /> Data. v 2 Time D 3 Received By. Date: Time: <br /> a <br /> Relinquished By. Date 'y/t Time��4/d' Received By Date Time: <br /> aRelinquished By Date Time. Received Time•1 -.0 V <br /> z <br /> Q Were Samples Received In Good Condition?e:4*s 7 No Samples an Ice? dl4ts 3 No Method Page—of <br /> a <br /> �-4 To be completed upon receipt of report <br /> d1)Were the analyses requested on the Cham of Custody r+eported7 ©Yes ❑No tf no,what analyses are still needed? <br /> riu 2) Was the report Issued within the requested turnaround hme? Yes ZI No If no, what was the turnaround time? <br /> Approved by -h- Signature Company: Detc. <br />
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