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ARCHIVED REPORTS XR0000427
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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2908
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3500 - Local Oversight Program
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PR0544111
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ARCHIVED REPORTS XR0000427
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Entry Properties
Last modified
2/7/2019 4:05:22 PM
Creation date
2/7/2019 1:35:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000427
RECORD_ID
PR0544111
PE
3528
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
02
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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&ALPage___of <br /> Chain of Custody RArd I On-site Time Tem <br /> 0 P <br /> Project Name 2002 Groundwater Sampling Event I off-site Time Temp <br /> BP BU/GEM O Portfo 'o: Sky,Conditions <br /> BP Laboratory Contract Number: eteamlo cal Events. <br /> Date:14-712Requested q ed Due Date (mm dd <br /> / / }Job F ind S eed Direction <br /> S HIM <br /> Send To: BP/GEM P"acali No ARCO Station 2133 11 Consultant/Contractor SECOR <br /> Lab Name EEqUOIA ANALYI ICALBP/GEM Facffity Address 2908 Ben aurin It Dr. I Adch-ess 3017 Kilgore Rd., Ste. 100 <br /> Lab Address 819 Striker Ave Stte ID No --- 1f ][ c <br /> Rare ho Cordova, CA 95670 <br /> Sacramento, CA 95834 ite l at/Lon 38/-1213 II 11 -mail EDD charmsosecor.com <br /> California Global M # T0607700002 if lE Consultant/ContractorPro ect No 77BP 5213&00 aogo <br /> Lab PM Ron Babel P/GEM PM Contact. Paul Bu le 11 ] Consultant/Contractor Tele/Faz. 91.6.862.0430 <br /> ble/Fax- 916.921.9600 dress ][ Il Consultant/Contractor PM. R. Bertko <br /> alm <br /> rt & QC Level Invoke to Consultant/Contractor Cr BP/GEM <br /> BP/GEM Account No ele/Fay �I �IPP/GEM Work Release No <br /> Lab Bottle Order No Matnx Preservatives II ]I Requested Analysis <br /> d � "I <br /> 'L7 <br /> IN Sample Description Time ratory No c Sample Point Lat/Long <br /> 0 4 °' w *' and Comments <br /> z x x x 0 <br /> 1 E-2 x X fl X 8 00432111-121 349915 <br /> 2 E-3 --.....------ 'r -- <br /> �E <br /> 3 E-4 <br /> 04 ,r <br /> ---- ......_...............INACT 8 00443051-121 349863 <br /> ----------------- ---------��----�--------------------- -INACT <br /> - 8 00439651-121 349833 <br /> 4 E-5 ........................... <br /> -- -INACT 38 00454221-121 349872 <br /> 8 004"79/-121350204 <br /> 6 E-7 ------ ........................---- 11...--f...............INACT 38 00442381-121 349667 <br /> 7 E-g 3 <br /> E-91 X l' X 8 00454681-121 349803 <br /> s <br /> L 1jx 11 L0047536/-121349887 <br /> Sampler's Name , kquLted By/Atpllatioa ate "e ted By/ tion ate <br /> e <br /> Sam ler s Com <br /> Shipment Date <br /> 11 [ <br /> Shi went Method II I <br /> Shi znent Tea No <br /> Special.hwtrnctions• 11 11 <br /> lCustody Seals In Place Yes Nc Tem erature Blank Yes No^Cooler Tempeiatur`a on Receipt-'Trip Blame YesNo <br /> Dutnbutton. White Copy-LAbmitory /Yellow Copy-BPIGEM I Pmk Copy-CmsWtaftt/Contfactor 4 BP COC Rey 1 v <br />
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