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ARCHIVED REPORTS XR0012861
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0544208
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ARCHIVED REPORTS XR0012861
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Entry Properties
Last modified
3/1/2019 6:15:48 PM
Creation date
3/1/2019 4:44:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012861
RECORD_ID
PR0544208
PE
2957
FACILITY_ID
FA0003628
FACILITY_NAME
ARCO STATION #2168*
STREET_NUMBER
441
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
14707607
CURRENT_STATUS
02
SITE_LOCATION
441 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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WNg
Tags
EHD - Public
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Obp <br /> Chain of Custody Record Page�Of <br /> Project Name: ARCO 2168 GW RAP Implementation On-site Time: v^ Tem :3;_0 <br /> BP BUTAR Region/Enfos Segment: <br /> BP>Amedcas>West Coast>Reta1>WCBII>GA Off-site Time: Tem : <br /> >Central>216B>HistoricaIRL Sky Conditions: c_ ;. C'14Vc, <br /> State or Lead Regulatory Agency: sanJoaquinCounty ErWronmenlalManagement Dept. Meteorological Events: Y <br /> Requested Due Date(mm/dd/yy): Wind Speed: /O Direction: <br /> Lab Narne:S uoia BWAR Facility No.: 2168 onsultant/Contractor: URS <br /> Address:885 Jarvis Drive BWAR Facility Address:441 W Charter fa ,Stockton,CA 95206 ddress: 2870 GatewayOaks Drive Suite 300 <br /> Mor n Hill,CA 95037 ite Lat/Lan : NIA Sacramento CA 95833 <br /> Lab PM:Lisa Race - California Global ID No.: T0607700508 Consullanl/Contractw Project No.: 38466562.0093001 <br /> Tele/Fax:408.782.8156/408.782.6308 Enfos Project No.: GOC81-0010 Consultant/Contractor PM: Vernon Elarth <br /> BP/AR PM Contact:Kyle Christie Provision or RCOP: Provision Tele/Fax: 916.717,5045/916.679.2900 <br /> ddrem:4 Cent ointe Drive Phase/WBS: 09-RAP Implementation Re rt e& C Level: Level 1 with 8DF <br /> La Palma,CA 90623-1066 ub Pliasc/Task: 03-Anal ictal &mail EDD To: Denise Y urseo .corn <br /> elelFax:714.670.5303/714.670.5I95 t Element: 05-Subcontracted Costs Invoice to: Altantic Richfield Co. <br /> Lab Bottle Order No: Matrix Preservative Requested Analysis <br /> J rSI- [PP <br /> okbgI <br /> ItemSample Description a i7 Laborato No � ` 'No r} o le-Po' a ong and Carmen <br /> a <br /> a CT <br /> all <br /> 3 p�l� - !1 a'�, oo, N f`h1.3 8 to a + ! <br /> 4 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler`s Name: f / Relin ut red By I Affiliation Date Time Accepted ByIAffiliation Date Time <br /> Sam let's Company.- [ d .� h . 00 <br /> Shipment Date: // Jfl <br /> Shi ment Method: Y2 <br /> Shipment Tracking No: <br /> S eciai Instructions; <br /> -,Custgoy Seals In Place Yes No Temp Blank Yes No Cooler Temperature on Receipt.�.8_ ° /C —Tip I31ank YePfN° <br /> Distribution: White CQpy-Laborat°ry/Yellow Copy-BP/Atlantic Richfield Co. /Pink Copy-Consul tant/Conhuactor BP COC Rev.4 10/1/04 <br />
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