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ARCHIVED REPORTS_XR0012360
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PACIFIC
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1665
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012360
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Last modified
5/5/2020 1:19:22 PM
Creation date
5/5/2020 12:14:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012360
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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M P D OServices, Inc. <br /> 2401 Stanwell Drive,Suite 400, Concord, CA 94620 <br /> Tal 16101 602 5120 Fax- (510) 669-1918 <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL. ANALYSES REQUESTED <br /> VARTKES TASHDJIAN S/S # 2-S CITY �SUc:�?cn TURN AROUND TIME <br /> r d N w 'qt k'"r 4-r <br /> WITNESSING AGENCY ADDRESS �2C� �at GJ _S�4 w <br /> 9x Q o <br /> SAMPLING Q h x 0 0 REMARKS <br /> SAMPLE ID NO DATE TIME AT COMP NO OF CONT LOCATION }- 03 f <br /> MLJ A .n,r X z rrd�� M� X 4080919 �{ <br /> X X X 40$0914 <br /> MW 3 x ix -� `� X 4080915 <br /> 4080916 <br /> MIS— 4080917 <br /> iq `r �.�', X X `� X 4080918 <br /> m `� 4 !D`3� X x � ,� X 4080919 <br /> L L <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELIND HED BY DATEITIME RECEIVED BY t HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> z <br /> ISIGNATUREI ISIGNATUREi TL L{4 2 IVILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> D. .7,t 1---.--.1- 7 s11d e <br /> ISfGNATURE) ISIGNATURE) 3 GrID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> ,tom—moi ls9�l �1 No <br /> (SIGNATURE) (SIGNATURE} 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPE8LY PACKAGED? <br /> `` 4-5 <br /> (SIGNATURE) ISIGNATUREI SIGNATURE TITLE DATE <br /> D—.:( .4-..-n-E !,+ 6 tl?-let <br />
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