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ARCHIVED REPORTS_XR0012381
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1665
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3500 - Local Oversight Program
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PR0545638
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ARCHIVED REPORTS_XR0012381
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Entry Properties
Last modified
5/5/2020 1:37:43 PM
Creation date
5/5/2020 12:24:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012381
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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©t ` SERVICES INCORPORATED <br /> 2401 Slanwell Drive,Suite 400 CHAIN OF CUSTODY <br /> Concord.California 94520 <br /> Tel (510)602-5100, Fax.(510)689-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJIAN 5/s# CITY TURN AROUND TIME. <br /> t%a <br /> WITNESSING AGENCY ADDRESS /669" M L <br /> WEss" <br /> 0 <br /> SAMPLING 9k H a p.4 O c� REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION E-4 M I:-I A N pQ j <br /> �lt� I /1/ly g,6 �, 3 x ✓iA, L✓ / �( X 1#573 A <br /> PIN <br /> x:10 <br /> Z Y /'ty X X `� X X 112574 <br /> 3;2'/3 P/y X X X X 411IL575 <br /> Mcg ti � >y X X 11 5'76 <br /> N A~ X tx 4 X X 13,111577 <br /> rilcJ 16 4 ° X X 1 X X 111 '78 <br /> MtJ 4 �' X X '� X 4111579 <br /> y$ lelx x <br /> mcg 4 x <br /> � � 4 k 11 5�0 <br /> ►�� 9 4 M)~ K X 4 Cr X X 'Ull 581 <br /> RELINQUISHED BYIIIIIIIIIIIIIIIIIIIIII� DATEITIME RECEIVED BY 1,930 DATEITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED 4N LGE? <br /> ,r 9� <br /> f� <br /> {SIGNATURE It �6/ 74 (SIGNATURE) /t Z WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> ISIGNATURE) 151G 132, 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> 1 J n 6 <br /> {SIGNATUREI JSIGNATU 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> {SIGNATURE! 51GNATURE + �t}�` TITLE. "g-1- DATE. <br /> 1919 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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