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ARCHIVED REPORTS_XR0012372
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_XR0012372
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Entry Properties
Last modified
5/5/2020 1:27:06 PM
Creation date
5/5/2020 12:21:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012372
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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f <br /> D <br /> El� <br /> SERVICES INCORPORATED # t <br /> 2x01 StanWall Drive,-Suite 400 CHAIN OF CUSTODY 9 V� VV05 VV 5 <br /> Concord,California 84520 <br /> Tel (510)602-5100. FM(510)689-1918 <br /> SAMPLER UNOCAL. I ANALYSES REQUESTED <br /> VARTKES TASHDJIAN <br /> SIS # z8-� CITY S���yi7�- TURN AROUND TIME <br /> Qct Iar" ' <br /> WITNESSIN[i AGENCY ADDRESS ' <br /> � O <br /> SAMPLING a H a O o REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION [1 H A F'I 00 <br /> s , l�l � J L,6 q �( 0501320 <br /> E z 6 508 zi <br /> 6050622 <br /> RELINQUISHED BY DATEITIME RECEIVED BY DATEITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> 10 G X19(9 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? Cgs <br /> 3,� -e-3 <br /> [SIGNATURE (p (p ?SIG ATURE r WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? I !O <br /> (SIGNATU 1 (SIGNATOR <br /> d <br /> ISIGNATURE) ISIGNATURE) 4 WERE SAMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> rIGNATURE TITLE SATE.(SIGNATURE) ISIGNATUREyC,,,G, L,�� <br /> o s All water containers to be sampled for TPHG/BTEX, 8010& 8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers are <br /> unpreserved <br />
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