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REMOVAL_2002
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231341
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REMOVAL_2002
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Entry Properties
Last modified
9/15/2021 1:20:11 PM
Creation date
11/8/2018 10:23:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2002
RECORD_ID
PR0231341
PE
2361
FACILITY_ID
FA0003629
FACILITY_NAME
ARCO STATION #434*
STREET_NUMBER
501
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03119028
CURRENT_STATUS
02
SITE_LOCATION
501 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\K\KETTLEMAN\501\PR0231341\REMOVAL 2002.PDF
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EHD - Public
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�� Chain of Custody Record on-site Time: / ,`),q,S Temp: Page=_ of <br /> 0 Project NameOff-site Time: Temp: <br /> BP BU/GEM CO Portfolio: Sky Conditions: Cie c/ <br /> _ BP Laboratory Contract Number: Meteorological Events: <br /> Date: jP—I D-pZ Requested Due Date(mm/dd/yy) 8-3 D-c) Z Wind Speed: Direction: <br /> Send To: 23':. BP/GEM Facility No.: q3q Consultant/Contractor: �,-��,�y G.t Ir. <br /> Lab Name: ',$� a,Q' �, BP/GEM Facility Address: Sty! w, to/7/ewae / o <br /> ddress:,3,3 30 s. ;77 SJ` <br /> Lab Address: /p , v Art 5-, %!%! Site ID No. C-. a m w PK Cc, T s-e ff <br /> 9 378,3 °/ Site Lat/Long: e-mail EDD: . Q <br /> California Global ID#: Consultant/Contractor Project No.:/-L 15,3 y <br /> Lab PM: jv. C4."fBP/GEM PM Contact: /7s w/ S /e Consultmt/Contractor Tele/Fax: ep 62�-gym es <br /> Tele/Fax: L g,2/- fG B aAddress: Consultant/Contractor PM: jz Je AA-s o <br /> Report Type&QC Level: Invoice to: Consultant/Contractor or BP/GBM (Circle o. <br /> BP/GEM Account No.: fele/Fax: BP/GEM Work Release No: <br /> Iab Bottle Order No: Matrix Preservatives Requested Analysis <br /> ti <br /> Itemm Sample Point Lat/Long and <br /> Sample Description Time 'd q Laboratory No. o Z o <br /> No. o w N p Comments <br /> O O F <br /> v 3 l z <br /> 1 SP1-/7o5 - t( - X ) ( yGoq os le Fl r, <br /> 1., r <br /> PC <br /> z SP/-5 foS - ff 1Y )L r (' f X X vs e, 4,1044µ <br /> 3 C~/-S 1.329 - D I 7� x <br /> 4 - )3zO X / x x <br /> 5 4- 3 -S._)� 1315 X <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> r' Re ' B /AfrilisMDa#� fine ccepted By/AtI'' tion Date rime <br /> Sampler's Name: ♦r~ ./ y <br /> Sampler's Company: t)• $ SD <br /> Shipment Date: $-( -0 L <br /> Shipment Method: t <br /> Shipment Tracking No: <br /> Special Instructions, <br /> Custody Seals In Place Yes_No Temperature Blank Yes_No_ Cooler Temperature on Receiptkq��41FAC Trip Blank Yes -NoT <br /> LABORATORY nPCOC W,1 2/5/02 <br /> �t <br />
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