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ARCHIVED REPORTS XR0001302
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CENTER
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205
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3500 - Local Oversight Program
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PR0544173
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ARCHIVED REPORTS XR0001302
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Entry Properties
Last modified
2/25/2019 2:25:49 PM
Creation date
2/25/2019 11:03:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001302
RECORD_ID
PR0544173
PE
3528
FACILITY_ID
FA0003613
FACILITY_NAME
ARCO STATION #4493*
STREET_NUMBER
205
Direction
N
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13909003
CURRENT_STATUS
02
SITE_LOCATION
205 N CENTER ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Page 1 0 <br /> ra <br /> �; Cham of Custody R rd On-site Time Temp <br /> n9 M Project Name Well Development/Sampling Off- site 71me Temp <br /> BP BU/GEM CO Portfolio: Sky Conditions <br /> BP Laboratory Contract Number. Meteorologtcal Events <br /> Date ��_� ��, Requested Due Date (mm/dd/yy) lWind Sneed Direction <br /> Send To BP/GEM Facility No ARCO Station 4493 Consultant/Contractor SECOR <br /> Lab Name SEQUOIA ANALYTICAL BP/GEM Facility Address 205N Center St., Stockton Address 3017 Mere Rd , Ste 100 <br /> Lab Address 819 Striker Ave Site ID No Rancho Cordova, CA 95670 <br /> Sacramento, CA 95834 Site Lat/Lon e-mail EDD eharmsasecor com <br /> California.Global ID # T0607700462 Consultant/Contractor Project No 77BP 54493 00 0050 <br /> Lab PM Ron Bobel BP/GEM PM Contact r Paul Supple Consultant/Contractor Tele/Fax 916 861 0430 <br /> Tele/Fax. 916 921.9600 Address P.O. Box 6249 Consultant/Contractor PM R Benkosky <br /> Report Type & QC Level Mor a, CA 94670 Invoice to Consultant/Contractor or BP/GEM (Circl <br /> BP/GEM Account No ele/Fax 925 299 8891 JWGEM Work Release No 26830 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> Item Sample Point Lat/Long <br /> No Sample Description Time o ` Laboratory No u° o o <br /> ami o O "' 00 `" and Comments <br /> + �� pO <br /> R <br /> ¢ z x x w w <br /> 1 MW-8M q ua X (p <br /> 2 MW-81) 060 ix <br /> 3 MW-9M p X (Q <br /> 3 MW-9D AP140 X <br /> 3 MW-IOM X <br /> 3 MW-10D Y y$ X �Q <br /> 7 <br /> I <br /> 8 <br /> Sampler's Nam Relinquished By/Affili tion ate 1YmeJlAccepted By/A#Matin 4,Date e <br /> Sampler's Com an �,ioe a 1 aA tl <br /> Shipment Date - .-pg. <br /> Shipment Method jee art <br /> Shipment Trackmg No <br /> Special Instructions <br /> Custod Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt OF/'Trip Blank Yes No <br /> Distribution White Copy-Laboratory/Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev 1 V5/02 <br />
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