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ARCHIVED REPORTS XR0000816
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CALIFORNIA
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3212
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3500 - Local Oversight Program
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PR0544153
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ARCHIVED REPORTS XR0000816
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Entry Properties
Last modified
2/15/2019 10:55:58 AM
Creation date
2/15/2019 9:22:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000816
RECORD_ID
PR0544153
PE
3528
FACILITY_ID
FA0006773
FACILITY_NAME
ARCO 02186
STREET_NUMBER
3212
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12532001
CURRENT_STATUS
02
SITE_LOCATION
3212 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Chain of Custody"cord Page !_ A,_ <br /> P <br /> Project Name: ARCO 2186 Quarterl Monttortn M On-site Time Tem l$ <br /> BP BUTAR Region/Enfos Segment gp>yn�s>West Coast>Retail>WCBU>CA Off-site Time D Tem D�� <br /> 1� � <br /> >Central 5,2186>HtstoncatHL Sky Conditions <br /> State or Lead Regulatory Agency: Regional water Quality control Board-Central valley Reye Meteorotogical Events <br /> Requested Due Date(mm/dd/yy) �Vand Speed ,J I¢ Direction t <br /> I ab Name Sequoia MAR Factiq No 2186 onsultant/ContractoT URS <br /> Address 1455 N McDutivall Blvd,Suite D 13PIAR Facility Address 3212 N Califomia Street,Stockton,CA 95204 Addym 2870 Gateway Oaks Drive,Suite 300 <br /> Petaluma,CA 94954 Site Lat/Lon N/A Sacramento,CA 95833 <br /> Lab PM Robert Butic r California Global ID No 70607700635 Consultant/Contractor Pro ect No 38466463 <br /> de/rax 707 792 1865/701 792 0342 Enfos Project No G09JZ-0164 Comultant/Contractor PM Vemon Elartli <br /> BP/AR PM Contact Patti Sup le Provision or RCOP Provision ele/Fax 916 717 5045 1 916 679 2900 <br /> Address P U Box 6549Phase/WBS 03-Operation,and Maintenance Report Type&QC Levet Level 1 with EDF <br /> Mom a,CA 94570 Suis Pliase/1 ask 03-Ailalytical E mail EDD To Denise Yee r ursco com <br /> Tele/rax 925 299 89911925 299 8572 1 ost Element 05-Subcontracted Costs lLay2ELLo Atlantic Richfield Company <br /> Lab Bottle Order No Matrix Preservative Requested Analysis <br /> D gz G o ft'L 4- <br /> item " <br /> Sample Point Lat/L <br /> ong and <br /> S"iuple iesci+ptian Laboratory Na <br /> No Comments <br /> O H <br /> HZ_O Z .R xcU'll, <br /> 1if <br /> S`4 3--1 <br /> 2 V - ot. o JV X u <br /> 3 W— 3 0-fX <br /> 4 <br /> 6 <br /> 7 +L R Lslollft S A kL IN AC1 <br /> 8 I N T1TAT <br /> 9 C L R Ei4 LEI <br /> 10 <br /> Sampler's Name tln ,� Relinquished By/Affiliation IL <br /> Date 3'ime d By I Aff+ltation Ante Ttme <br /> Sampler's Company �� L Z <br /> Sht nzent Date -d S V f <br /> Shi went Method Gt f <br /> Sht ment Trackin No <br /> ISpecial Instructions <br /> -CustodyScats hi Place Yes No Ternp Blank Yes No Cooler Temperature on Receipt of/C Trip Blank Yes No <br /> BP COC Rev 4 tU/1It14 <br /> Distribution While Cony-Labowtoiy/Yellow Copy-MAtlantic Richfield Co /Pink Copy-Consultant/Contractor <br />
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