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ARCHIVED REPORTS_XR0002991
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HAMMER
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1612
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3500 - Local Oversight Program
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PR0545246
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ARCHIVED REPORTS_XR0002991
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Entry Properties
Last modified
1/30/2020 8:19:04 PM
Creation date
1/30/2020 3:14:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002991
RECORD_ID
PR0545246
PE
3528
FACILITY_ID
FA0003611
FACILITY_NAME
PARKWOODS GAS & FOOD
STREET_NUMBER
1612
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07728002
CURRENT_STATUS
02
SITE_LOCATION
1612 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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• • • t <br /> 1�t Page ot'- <br /> Chain of Custody Reeo'rdOn-site Time: Temp: <br /> bp Project Name Station No. 548Off-site Time: en'�PTemp: <br /> BP BU/GEM CO Portfolio: Atlantic Richfield Company Sky Conditioas: G( <br /> BP Laboratory Contract Number: Meteorological Events: AAV 14 <br /> Date: 1012-ok-1 Requested Due Date: ` Mind S d: N/A Direction: N/A <br /> Send To: r BP/GEM Facility No.: 548 / onsullautiContraclor. URS Corp. <br /> l.ab Name: Sequoia-Petaluma BP'GEM Facility Address: 1612 W.Hammer Lane,Stockton Addruss: 2870 Galetray Oaks Dr.,Ste 3 0 <br /> Lab Address: 1455 N.McDowell Blvd, Site ID No. ARCO 548 Sacramento,CA 95833 <br /> (� Suite D Site Lat,Lon : mail EDD: No EDF <br /> Petaluma,CA 95954 California Global 1D 9: 70607700134 Consultant Project No.: 38466082.00327 <br /> Lab P'M: aft elee Cad BIIfGEM PM Contact: Paul Supple onsultanffeleTfax-916-679-2000/679-2900 <br /> Tele/Fax: 707-792-75271707-792-0342 Address: P.O.Box 6549 Consultant I'M: Vernon LWth-916.679.2299 <br /> Report Tv pe&QC Level: level l Mora a,CA 94570 Invoice to: BP/GEM <br /> C`n <br /> BPIGENI Account No.: elefFax: 925.299.8891 1925,299,9872BP/GEM Work:Release No: <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> a <br /> s <br /> a <br /> Item5 a Sample Point Lat/Long and <br /> Sample Description Time v Laboratory No. s .. y <br /> No. a x Comments <br /> 00 <br /> a a_ <br /> aco79� <br /> in 3 Q 2 <br /> 1 ;Totul Air Li— X I 1 X I I I X Ix <br /> 2 INF Cat Air De(lu X I l X X X <br /> 3 EFF Air C�'61S X 1 x X X <br /> 4 <br /> 5 tr'LlMER CU FC )V SEALS kC <br /> 6 <br /> 7 <br /> 8 <br /> C <br /> 9 <br /> la <br /> Sampler's Name: George Bradshaw FLullnyula B' lilialt n <br /> 6(u Hasa ccepte�i By!Arf li vu are me <br /> Sampler's Com anyU16 Co- rayon 24Qa <br /> Shipment Date: e <br /> Shipment Method: <br /> Shipment Tracking No: <br /> Special InstruLtions: <br /> Custody Seals In Place Yes No Temperature Blank Yes_No cooler'Temperature on Receipt °P'/C Tap Blank Yes No'"�� <br /> Distribution: White Copy-Laboratory!Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev.1 2/510+2 <br />
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