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ARCHIVED REPORTS XR0001814
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CHEROKEE
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225
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2900 - Site Mitigation Program
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PR0508009
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ARCHIVED REPORTS XR0001814
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Entry Properties
Last modified
5/20/2019 2:25:25 PM
Creation date
5/20/2019 2:10:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001814
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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r) t5 =- <br /> o�D'•?Z� S~t Page-A,of <br /> Chain of Custody Record On-site Time SZ-O Temp 7.5,0bp ` <br /> Project Name ARCO 760 GW MonitormgOff-site Time A 03a Tem <br /> BP BV/GEM CO Portfolio, Retail Sky Conditions C1 <br /> BP Laboratory Contract Number: Atlantic Richfield Co Meteorological Events VN e,r-,A _ <br /> Date `2 A-63 Requested Due Date(mmlddlyy)ATO—.-v J4 E_ and Speed a Direction <br /> Send To- BP/GEM Facility No ARCO 760Consultant/Contractor URS <br /> Lab Name SEQUOIABP/GEM FacilityAddress 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 LavUn mai]EDD denise ee ursco com <br /> alifornia Global ID 4 70607700245 onsultant/Contractor Project No <br /> Lab PM An elee CanBP/GEM PM Contact PAUL SUPPLE Consultant TelelFax 916-679-23871916-679-2900 <br /> Tele/Fax 707-792-1865/707-792-0342 Address P 0 Box 6549 Consultant/Contractor PM VERN E <br /> ort T e&QCLevel Level ] Mora a, CA 94570 nvoice to Consultant/Contractor BP/GEM ,wie one) <br /> BP/GEM Account NoTele/Fax 925-299-88911925-299-8872OP/GEM Work Release No <br /> Lab Bottle Order No Matrix Pi eservatives Requested Analysis <br /> o <br /> m <br /> p tn <br /> Item No Sample Description Time -0 4 Laboratory Noo d °O ¢ Sample Point Lat/Long and <br /> Fm Commentso Z <br /> cc LQ <br /> LJ <br /> r°n 3 d Z <br /> —1 A n _f (a X X X <br /> 2 Z Zo A. >t I X yL X <br /> 3 v3— L5d <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 COO ER T MP RAum. °c <br /> l0 <br /> Sampler's Name Vb& elm uis B 1 filil, ate Time ti Ecesated By/Affiliation Date ime <br /> am ler'sCom an \7&NS Sac Jm S'W <br /> hi went Date <br /> lei went Method lIla <br /> Slu meat Tracking No <br /> pecial Instructions Address Invoice to BP/GEM but send to URS for approval -If total lead value is>50 analyze for lead v STLC.value is>5 analvze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Scals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt FIC Tnp Blank Yes No <br /> Distribution White Copy-Laboratory/Yellow Copy-BP/GEM /Pink Copy-Consultant/Cantractor BP COC Rev 1 215/02 <br />
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