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ARCHIVED REPORTS XR0000403
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 XR0000403
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Entry Properties
Last modified
2/7/2019 10:08:16 AM
Creation date
2/7/2019 9:07:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000403
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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Chain'1 <br /> ,of Custody RecordFm <br /> e Tune Temp <br /> Project Name 3004 Groundwater Sampling Event Tie Temp <br /> BP BU/GEM CO Portfolio, Atlantle Rtchfiold Company SkyCowitlons <br /> BP Laboratoiy Contract Nxxnxber• l _II Meteorola cal Events <br /> Date: Zi Requested Due�IDate'mn/ddlyy0 <br /> Wind S ed <br /> Direction <br /> Send To. BP/GBM Facility No ARCO Station 2133 Cottsultandcontractor. SECOR <br /> Lab Name SEQUOIA ANALYTICAL. /GBM Facihty1Address 2908 Benjamin Holt Dr ddress 3017 Kilgore Rd.,Ste.100 <br /> Lab Address 885 Jarvis Drive <br /> Site ID No 9 II Rancho Cordova,CA 95670 <br /> Morgan Hlll,CA 95037 Site LatIL o 381-121.3 a-mail EDD k lesoras&ecor.com <br /> California Global ID# T0607700002 Con sultant/contractor Project No 7MM133 04.0127 <br /> Lab PM Lan Race P/GBM PM Contact II Paul Su le Consultant/Contractor Tele/Fm 916 861.0430 <br /> e1elFax 408 782.8156 Address hP 0 Boz 6249 Con sultaut/Cantract0 IL Beaker <br /> kyT <br /> Tart & C Level !Mon a,CA 94570 nvoice to isnt/Contrsct or BP/GBM GYrde one <br /> RepBP/GBM Account No eleJFax 11(925)299.8891 BP/GBM Work o <br /> Lab Bottle Order No Matnx II PreseryatWes Requested Analysis <br /> as <br /> H h <br /> Sample Point LadLong and <br /> Itemb Lab No is Comments <br /> Time Sample Descriptmn me '8 0 Pf <br /> No N <br /> uQs F $ <br /> ga ' <br /> 1 MW-2 X -----____�____._�____�_______�. ...�-- -------INACr 8 00432111-121.349915 <br /> INACr 8 00443051-121 349863 <br /> 2 MW-3 X j (� -- ---w_._..___.----------------------------- -- <br /> 3 MW-4 X 11 II ------------__------------ -- --______.___ INACT 38 00439651-121349833 <br /> 8 00454221-121349872 <br /> 4 MW-5 X <br /> al II --__--_.__.__.__ <br /> ,� X � 1� 3 X X 38 0044479/-121350204 <br /> 5 QCTB �I 8 0042381-121349667 <br /> 6 38 00454681-121349803 <br /> 7 F-FJ-J38 00475361-121 349887 <br /> 8lme Ac to By 1 Affiliation ate we <br /> Sampler's Name , Rellaqwshed By/A[6liatioa <br /> sarrtpaees Co an $C(oa I II to <br /> Shi went Date <br /> EMnenl Method l If <br /> Shipment Tracking No I II <br /> ecis]Instructions I 11 <br /> Trip Blank Yes No <br /> Cody Seals In Place Yes No T erature Blank Yes II No UP COC Rev.I 21SM2 <br /> Dxstnbution W lube Cop - boratory 1 YcJ10W Copy-HPIGBM !Pitilc Copy-ConsultantlCtmtractor <br />
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