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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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Page 3 of <br /> e27% Chain of Custody Record On-site Tune Temp <br /> 4�1 b IF 'a Project Name 2Q03 Groundwater Sampling Event off site Tone Temp <br /> n• BP BU/GEM CO Portfolio: Atlantic Richfield SkyCondittons <br /> BP Laboratory Contract Number Meteorological Events <br /> Date j'��� Requested Due Date(mm/dd/yy) Wmd Speed Direction <br /> Send ToBP/GEM Facility No ARCO Station 2133 rdd <br /> ultant/Contractor SECOR <br /> Lab Name SEQUOIA ANALYTICAL. BP/GEM Facility Address 2908 Benjamin Holt Dr ess 3017 Kilgore Rd,Ste 100 <br /> Lab Address 885 Jarvis Drive Site 1D No --- Rancho Cordova,CA 95670 <br /> Mor an ILII,CA 95037 Site Lat/Lon 38/-1213 il EDD ldlesoras@secor cam <br /> Calttornia Global ID# T0607700002 ultant/Contractor Project No 77BP.52133 03 0327 <br /> Lab PM Ron Bobel(Sacramento Office) BP/GEM PM Contact Paul Stipple Consultant/Contractor Tele/Fax 916 8610430 <br /> Tcle/Fax 916 9219600 Address P O Box 6249 Consultant/Con nkosky <br /> Report Type&QC Level Mora a,CA 94570 invoice to C sultant/Contrdct BP/GEM (Circle one) <br /> BP/GEM Account No ele/Fdx (925)299 8891 P/GEM Wor 8982 <br /> Lab Bottle Order No Matrix LJ Preservatives Requested Analysis <br /> 0 <br /> � N <br /> Item _ Sample Point Lat/Long and <br /> Na Sample Description Time v a Laboratory No U Comments <br /> c, <br /> E~ o p p T <br /> 1 MW-2 --------------------------------------------------------INACT 38 0044492/ -121 350336 <br /> 2 MW-3 --------------------------------------------------------INACT 380041659/ -12134978 6 <br /> 3 MW-4 X - 3 X X 38 0040626/ -121 349998 <br /> 4 MW-5 d p X 3 X X 38 0043675/ -121 350419 <br /> 5 QCTBc Qob x 3 x x -- -- <br /> 6 <br /> 7 <br /> S <br /> Sampler's Naive ()J-Z Re yuishe By i Afiil�atio e, iine ep ed B /Affiliation ate e <br /> (69 3 33.E <br /> Sampler's Co dti <br /> Shipment Date 1'- C q � <br /> Shipment Method <br /> Shipment Tracking No 41 <br /> rD <br /> Special Instructions <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt °FIC Trip Blank Yes No <br /> Distribution White Copy-Laboratory 1 Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev 1 215102 <br />
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