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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0508009
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Entry Properties
Last modified
5/20/2019 2:18:46 PM
Creation date
5/20/2019 1:35:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0508009
PE
2957
FACILITY_ID
FA0007882
FACILITY_NAME
ARCO #760
STREET_NUMBER
225
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04314058
CURRENT_STATUS
01
SITE_LOCATION
225 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Page ot'L <br /> Obp <br /> Chain of Custody RecordOn-site Time: T <br /> FrojectName g site Time: Tempr, <br /> BP BUIGEIVI CO Portfolio: Sky Conditions: <br /> BP Laboratory Contract Number. Metrarolo 'cal Events: <br /> Date: l�:?�, z Requested Due Date{mm/dwyy) Vind S eed: Direction: <br /> Send To: BPIGEM Famli No onsullantfContramor URS <br /> Lab Name: SEQUOIA PIGEM Fnmli Address: 225 S.Cherl3kee Ln., LODI CAAddress: 2870 Gabmay Oaks Dr.,Ste 300 <br /> Lab Address: 888 Jarvis Dr. Site ID No. ARCO 760 Sacramento,CA 95833 <br /> Morgan Hill,CA 95437 SiteLa o mail EDD: dt:rtise-yee@ursco!p.com <br /> rniaGlobal ID#_ onsultant/ConimctorProjectNo.: b3- - <br /> Lab PM: Latort a Pell BPIGEM PM Contact: PAUL SUPPLE ConsultantTelc/%mc 91"79-23871.916-579-2900 <br /> elatFax: 40&776-96001448-782-6308 dress nsultant/ContractorPM: VERN ELARTH <br /> voioeta: ConsultantiCentractnr ar PI+GGM imkEine <br /> Report Level:Send EDF Reports <br /> ) <br /> IGEM AecountNo.: elexax: PPIGEM Work Release No: <br /> ab Bottle Order No: Matrix Preservatives Requested Amlysls <br /> w <br /> w$ <br /> in <br /> Item Na. Sample Description Time 1? ' Z) Laboratory No. 8 , d Sample Paint ILat/Lang and <br /> ® w y qua E.N Co>Ytruents <br /> rL 0 U x tr, u5 A o <br /> E 3 d,d trt # f~m p <br /> z o K. <br /> r <br /> 141 LJ 3 <br /> lSao aL <br /> 4 r <br /> r <br /> 5 <br /> G r <br /> 7 �c <br /> 8 <br /> 9 <br /> 10 <br /> a ler"s N'an=: eras uis6ed /Affle Winn ate Ione red /Afffflo taa Late Time <br /> Samplees Company, <br /> meat Date- <br /> }v n=tMethad: <br /> hi mentTrac No: <br /> er 1al Instructicas: Address Invoiceto IBPfGE51 but scud to URS for auuroval <br /> Custody Seals In Place Yes No Temperature Bleak Yes No Cooler Temperature onReccipl °FIC Trip Blank Yes No <br /> EEI <br /> Distn"bution:IVWO--Cavy-Labotmtory/YctiowCopy-BPIGEM/Pink£bpy-Consuttamt/Cantractar &POOrNe`r WSW <br />
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