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ARCHIVED REPORTS_XR0011174
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0505663
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ARCHIVED REPORTS_XR0011174
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Entry Properties
Last modified
1/9/2020 11:58:27 AM
Creation date
1/9/2020 11:47:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011174
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 of <br /> �t►:: <br /> Chain of Custody Recordn-site Time: 1 Tum : <br /> bp <br /> Project Nallne ARCO 5450 GW Monitoring^ ff-site Time: Tem <br /> 13P BU/GEM CO Portfolio.—Atlantic Richtielci Co.' Sky conditions: i!t� <br /> BP I.,aboratory Contract Number: 461000 Meteoroloical Events: <br /> Requested Due Date(mm/dd/yy)_:5 -"." W[nd S -to Direx tion: <br /> Send To: BP/GEM Facility No.: ARCO 5450 <br /> nsultantlContractor. URS <br /> Lab Name: Sequoia PetalumaBP/GEM Facili Address: 9697 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 ite Lat/Lon : -moil EDD: devise ee ursco .com <br /> alifarnia Global ID#: T0607791886 onsultant/Cohtractor Project No.: <br /> Lab PM: Mike Giles P/GEM PM Contact: PAUL SUPPLE onsultant Tele!Fax: 916-679-20001916-679-2900 <br /> elvTox: 707-792-1865 1707-792-0342 ddress: P.O.Sox 6549 nsultant/Contractor PM: Jeff Broo <br /> RTOrtTyPe&QC Level:Level 1 Report&EDF Mora a.CA 94570 nvoiee to: Consultant/Contractor BP/GEM irc:le one) <br /> BP/GEM Account No.: elelFax: 925-299-$8911925-299-8872 BP/GEM Work ReieaseNo. <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> o �? <br /> N <br /> 00 <br /> N Sample Point Lat/Long and <br /> Item Sumple'Description l9 � a 5 Laboratory No, � � � c � � m Q N Comments <br /> No. A Q C `3 m n _ E✓ E— <br /> ° `I a o ° g � m <br /> V) 3 z ° x <br /> CID w <br /> TSL � 1�t�R 1 a •n L . <br /> 2 <br /> 31w,q �� s 7, x <br /> a AJ hCXA <br /> o83 t Uoo V Z <br /> ►� <br /> 5 <br /> 6 <br /> 9 <br /> 10 <br /> ain lefs.Name: S elirt uished B /Affiliation ate ime ece ted B 1 Affiliation Date ime <br /> Sam lez's <br /> Company: c'Orr +f cls 'G <br /> hi ment Date: <br /> Shipment Method: <br /> Shipment Track� <br /> ecial Instructions: Address Invoice to BP/GEM but send to URS for approval <br /> RUN b2b0 ANALYTES 1N ONE BATCH ANALYSISID <br /> ustody Seals In Place Yes No Temperature Blank Yes�- No Cooler Temperature on Receipt FX Trip Blank Yes No <br /> wh;,a Cnnv Yellov:Coov-BPrGENI 1 Pink Copy-Coiisulta nVContractor BP COC Rev.3 12715103 <br />
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