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ARCHIVED REPORTS_XR0011169
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0505663
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ARCHIVED REPORTS_XR0011169
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Entry Properties
Last modified
1/9/2020 12:03:08 PM
Creation date
1/9/2020 11:39:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011169
RECORD_ID
PR0505663
PE
2950
FACILITY_ID
FA0006930
FACILITY_NAME
ARCO PRODUCTS CO #5450
STREET_NUMBER
1617
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13511015
CURRENT_STATUS
02
SITE_LOCATION
1617 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Page l or <br /> Chain of Custodye1'6rda <br /> n-site Tin7e: <br /> Project Name ARCO 5450 GW Monitoring -site Time: 1150 Tem <br /> by+ p� BP BU/GEM CO Portfolio: Atlantic Richreld Co. s Conditions: <br /> BP Laboratory Contract Number: 461000 eteoroto ical Events: <br /> Requested Due Date(mnarddlyy) ind 5 eed: Direction: <br /> Send To: BP/GEM Facili No.: ARCO 5450Consultant/Contractor URS <br /> Lab Name: Sequoia PetalumaBP/GEM Facility Address: 1617 W. FREMONT ST, STOCKTON, CAAddress: 2870 Gateway Oaks Dr., Ste 300 <br /> .Lab Address: 1455 N. McDowell Blvd. Suite D Site ID No. ARCO 5450 Sacramento,CA 95833 <br /> Petaluma, CA 94954 Site Lat/Lon : -mail EDD: denise yeeg_urscorp.com <br /> alifornia Global ID.#: T0607791886 Consultant/Contractor Project No.: <br /> ab PM: Mike Giles <br /> P/GEM PM Contact: PAUL SUPPLE Consultant Tele(Fax: 916-679-2000/916-679-2900 <br /> ele/Fax: 707-792-18651707-792-0342 ddress: P.O. Box 6549 Consultant/Contractor PM: Jeff Broo <br /> Rc rt t' e L C Level:Level-I Rewe 8t EDF Mara a, CA 94574 invoice to: Consultant/Contractor BR GEM 'ircie 011C) <br /> BP GEM Account No.: elc/Fax: 925-299-88911925-299-8872 P/GEM Work Release No: <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> ua <br /> d b F y�C gC-4Sample Point Lat/Long and <br /> Ikon Sample Description n Laboratory No. F ¢ N Comments <br /> o ] w C? o LI F 0O <br /> L4 o Q O p b 07 m <br /> a z 5 y a w Q a <br /> 2 1 -02 <br /> 3 LA,-� —L7 3 I" )C <br /> a c > -0 <br /> 6 <br /> 7 N TI TA <br /> s <br /> y 001R <br /> 10 <br /> SAm !er s Natne: i el wished By/Affiliation <br /> ate ime ted By/Affiliatloit Date ime <br /> Satn lei's Company: �4.e_. <br /> t11 <br /> Shipment Date: �"� jr <br /> Shipment Method: } .� 1 it)t~ <br /> Shipment Tracking No: <br /> Special Instructions: Address Invoice to BPIGEM but send to URS for approval <br /> RL;N 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> ustody Seals In Place '—No Temperature Blank YesY_No Cooler Temperature on Receipt /C Trip Blank Yes No <br /> €)ijU.ihu1ii.11: XN1ite Copy-t.ahor;alaai)''Y e11ou•Copy-BP,GE:I4 !Pint:Copy-Consultzm/Contractor BP COC Rev,3 17115103 <br />
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