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2900 - Site Mitigation Program
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PR0508009
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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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d 3d L(J — Page-1 1 of <br /> Chain of Custody RecordOn-site Time: Temp:bp Project Name4 Gd <br /> (-GOff-site Time: Tem <br /> BP BU/GEM CO Portfolio: Atlantic Richfield Co. Sky Conditions: C.JOud <br /> B.P Laboratory Contract Number: Meteorological Events: <br /> Date: el 1Q D'S Requested Due Date(mm/dd/yy) �tx.w.�o,iaf� ind Speed: f s,., k Direction: fw�ie f' <br /> Send To: BP/GEM Facility No.: Consultant/Contractor: URS <br /> Lab Name: SEQUOIA BP/GEM Facility Address: 225 S. Cherokee Ln., LODI, CA Address: 2870 Gateway Oaks Dr., Ste 300 <br /> Lab Address: 1455 N. McDowell Blvd. Suite D Site ID No. ARCO 760 Sacramento, CA 95833 <br /> Petaluma, CA 94954 Site L e-mail EDD: denise_yee@urscorp.com <br /> California Global ID#: T0607700245 Consultant/Contractor Project No.: <br /> Lab PM: Angelee Cari BP/GEM PM Contact: PAUL SUPPLE Consultant Tele/Fax: 916-679-2387/916-679-2900 <br /> Tele/Fax: 707-792-1865/707-792-0342 Address: P.O. Box 6549 Consultant/ContractorPM: VERN E <br /> Report Ty e&QC Level: Send EDF Reports Mora a, CA 94570 Invoice to: Consultant/Contractor okBP/GEM Circle one) <br /> BP/GEM Account No.: Tele/Fax: 925-299-8891/925-299-8872 BP/GEM Work Release No: <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> w <br /> m <br /> cX <br /> 72 <br /> 00 <br /> c �"U °��° N .a `° Sample Point Lat/Long and <br /> Item No. Sample Description Time 72 Laboratory No. o m CO p <br /> w p Lw ¢ w m v Comments <br /> _ (y 2 m ❑ <br /> 2 /U W Z 1515' X X X >C <br /> rot`J�'tj 1 S'3 5 )C ?C X <br /> 4 <br /> 5 CIO OLER C S O:0 71:. - S ,•'i:�C I <br /> 6 r <br /> 7 <br /> 8 COOLE1 t TEAI I't: 'URE <br /> 9 <br /> 10 <br /> Samplers Name: A.,,. '?+DRelinquished B /Affiliation ate Time c ted B /Aftiliation Date ime <br /> Sampler's Company:?5Irt,i•te TGc.�n. ��5 `7/f �3 3 �' — -fi 5 3 <br /> Shipment Date: w aVl <br /> Shipment Method: <br /> Shipment Tracking No: <br /> Special Instructions: Address Invoice to BP/GEM but send to URS for anuroval <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt of/C Trip Blank Yes No <br /> Distribution. White Coov-Laboratun /Yellow Coov-BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev.1 2/5/02 <br />
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