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ARCHIVED REPORTS XR0004924
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LOUISE
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85
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3500 - Local Oversight Program
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PR0544124
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ARCHIVED REPORTS XR0004924
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Entry Properties
Last modified
2/8/2019 3:20:21 PM
Creation date
2/8/2019 3:10:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004924
RECORD_ID
PR0544124
PE
3500
FACILITY_ID
FA0012144
FACILITY_NAME
ARCO STATION #6080
STREET_NUMBER
85
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19627010
CURRENT_STATUS
02
SITE_LOCATION
85 LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
TMorelli
Tags
EHD - Public
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• cr. D� Ya of�— <br /> Chain of Custody Record -Site Time vrW Teinp co � <br /> Project Name 44D Off-site Time Temp &P <br /> BP BU/GEM CO Portfolio: Atlantic Richfield Company Sky Conditioris <br /> BP Laboratoiy Contract Number. eteorological l veiits <br /> Date, ��/S�p�_ Requested Due Date(mm/ddJvy): Standard TAT Wind Speed Direction-a <br /> Send To: PJGEM Facile X NoConsultant/Contractor Stratus Environmental,Inc <br /> �. Lab Name Sequoia Analytical BP/CrEM Facility Address Vs4w..y Aug- CA- Address 3330 Cameron Park Drive,Suite 550 <br /> a Lab Addre,., 1453 McDowell Boulevard, Site ID No o c7 Cameron Park,California <br /> North,Suite D Site LaILM -mail EDD cjcwitt@stratusinc.net <br /> Q Petaluma, California 94954 Califoriva Global ID# d 7?Va t0;F Consultant/Contractor Project No <br /> Lab PM Angelee Cori13P/GEM PM Contact ConsulLanKontraitor Tele/fax (530)676-6004(530)676,6005 <br /> Telaax (707)792 1865(707)792 0342 AddressConsultant/Contractor PM Jay Johnson <br /> Repoi t 1 rpe&QC Level 1 Invoice to Consultant/Contractor or r (Circle one <br /> RP/GLM Au ouiit No jTele/Fax P/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> 1 � <br /> Item01 <br /> x o 4 Sample Point Lat/Iong and <br /> No Sample Description Time o �1 � Laboratory No � � 0 °" � <br /> y o 00 00 <br /> W Comments <br /> � <br /> sn 3� 00x w m w w • <br /> { <br /> 4 <br /> 5CO( LER CUM Y JEALTN AC <br /> N `t 1A 11-3 <br /> 7 iLi I MRAItl R ° <br /> S II <br /> 9 <br /> 10 : <br /> Sampler's Name/'Ir/it- ; Reliiiqutstied B I Af diation hate rune Accepted By I Aftiliati n Date ime <br /> Sain ler's Cam anA'XiEbV <br /> Shi meat Date y 7 r �' <br /> Shipment Method aAsLU 7A, <br /> Shipment Tracking No "� <br /> i <br /> Special Instructions <br /> Custody Seals In Place Yes 6,-No Temperature Blank Yes 4-'No Cooler Temperature on Receipt °FIC Tnp Blank Yes No <br /> ry <br />
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