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ARCHIVED REPORTS XR0000398
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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B
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BENJAMIN HOLT
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2905
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3500 - Local Oversight Program
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PR0544110
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ARCHIVED REPORTS XR0000398
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Entry Properties
Last modified
2/7/2019 10:05:53 AM
Creation date
2/7/2019 8:57:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000398
RECORD_ID
PR0544110
PE
3528
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
02
SITE_LOCATION
2905 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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0 <br /> Page i of <br /> ' Chain of Custody Record On-site Time Ternp <br /> Project Name 2003 Groundwater Sampling Event Off-site Time Ternp <br /> op <br /> BP BU/GEM CO Portfolio: Atlantic Richfield Company Sky Conditions <br /> BP Laboratory Contract Number Meteorological Events <br /> Date b Requested Due Date(mm/dd/yy) ' and S eed Drrectiou <br /> Send To: PIGEM Facility No ARCO Station 2133 Consultant/Contractor SECOR <br /> Lab Name SEQUOIA ANALYTICAL BPIGEM Facility Address 2908 Bentartun Holt Dr Address 3017 Kilgore Rd,Ste 100 <br /> Lab Address 885 Jarvis Drive Site ID No Rancho Cordova,CA 95670 <br /> Morgan Hill,CA 95037 Site Lat/Lon 381-1213 e-mail EDD kflesoras@secor com <br /> California Global fD# T0607700002 Consultant/Contrac.tor Project No 77BP-52D3 03 0327 <br /> Lab PM Ron Bobel(Sacramento Office) BP/GEM PM Contact Paul Stipple Consultant/contractor Tele/Fax 916 8610430 <br /> Tele/Fax 916 9219600 Address P O Box 6249 Consultant/Contractor P R Benkosky <br /> Re ort Type&QC Level Moraga,CA 94570 Invoice to Co ultant/Ccmtrac or BP/GEM (Circle one) <br /> 13P/GEM Account NoTele/Fax (925)299 8891 [BP/GEM Work Re ease go <br /> — <br /> Lab Bottle Order No Matrix El <br /> Preservatives Requested Analysis <br /> a <br /> 00 <br /> w <br /> Item ',0, s� � Sample Point LatlLong and <br /> Na Sample Description Time b o Laboratory No o N <br /> o Comments <br /> Q <br /> o `a O ) <br /> v°, � U � <br /> O <br /> 1 E-2 X 4 3 1 X I I X 38 00432111-121 349915 <br /> 2 E-3 ----------------------------------------------------INACT 38 00443051-121 349863 <br /> 3 E-4 ---------------------- -------------------INACT 38 0043965!-121 349833 <br /> VLM <br /> 4 E-5 - ® ------- INACT 38 00454221-121 349872 <br /> 5 E-6YJ� ur'IbS lifl<Q� ____ __ ________________INACT 38 00444791-121 350204 <br /> 5 E-7 -----------------------------------------------------------INACT 38 0044238/-121 349667 <br /> 7 E-8 ik --- - X- 45468/-121 349803 <br /> 8 E-9 f X 3 X #TimnieAqtV*' <br /> 38 0047536/-121 349887 <br /> Sampler's Name R gmshe By/Affihahon at By 1 aon ate Ime <br /> id �a jJ 3 <br /> Shipment Date NOT INTACT [LS`(- <br /> Shipment Method o C <br /> Sh WhERUN <br /> S ecialInstructions <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt °F/C Trip Blank Yes No <br /> Distribution White Copy-Laboratory 1 Yellow Copy-BP/GEM 1 Pink Copy-Consultant/Contractor BP COC Rev 1 215102 <br />
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