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ARCHIVED REPORTS_XR0002992
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_XR0002992
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Entry Properties
Last modified
1/30/2020 8:20:14 PM
Creation date
1/30/2020 3:16:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002992
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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r� <br /> • PAZ <br /> of <br /> ell r. Chain of Custody Record <br /> On-site Time: Temp; C'0 <br /> ..r,•,;.; <br /> Project Nameb � Off-site Time: Temp: <br /> ' BP BU/GEM CO Portfolio: Atlantic Richfield Company sky conditions: 'D#wC_ <br /> BP Laboratory Contract Number: Meteorological Events: 1Y <br /> Date: W IT/a:1 Requested Due Date(mmldd/yy): Standard TAT Wind S & Direction:;ft- <br /> Send To: BP/GEM Facility No.: 5W Consultant/Contractor:Stratus Environmental,Inc. <br /> Lab Name: Sequoia Anal ical BP/GEM Facility Address: Address: 3330 Cameron Park Drive,Suite 550 <br /> Lab Address: 1455 McDowell Boulevard, Site ID No: Cameron Park, California <br /> North,"Suite D Site Lat/Lon : e-mail EDD: cjewitt@stratusine.net <br /> Petaluma, California 94954 California Global ID il: 7700 Consultant/Contractor Project No.: <br /> Lab PM: An elee Carl BP/GEM PM Contact: Consultant/Contractor Tele/Fax:(530)676-6004(530)676.6005 <br /> TeleJFax: (70 792.1865 70 792.0342 Address, Consultant/Contractor PM: Jay Johnson <br /> Report Type&QC Level: 1 Invoice to: Consultant/Contractor or Circle one <br /> BP/GEM Account No.: tele/FaxIIBP/GEM Work Release No: <br /> Lab Bottle Order No: Matrix Preservatives equested Analysis <br /> Ltemo `h <br /> Time Sample Description Tl °i `3 Laboratory No. Sample Point Lat/Long and <br /> LLL <br /> No. w <br /> o O U 4 O Comments <br /> v 1p, <br /> I r JC 3G 1e <br /> 2 j--2- <br /> 3 <br /> 3 v" 19-362- <br /> 44 4 •�- y2k 02.5 v` <br /> 6 vw- ! 4I <br /> 7 V t-'' 7 <br /> s VF-• 3 <br /> 9 0`n 0312d )a r 1 x <br /> IO "p "tom <br /> Sampler's Name:p1Ajtj4& Rettn wished Byj AMHs on Date rime Acce d By/A Econ Dale in►e <br /> Sam ler's Company: ,a p <br /> Shipment Date: i <br /> Shipment Method: <br /> Shipment Tracking No: <br /> Special Instructions: <br /> Custody Seals In Place Yes Ivo Tem erature Blank Yes L--No Cooler Temperature on ipt' 0FIC Trip Blank Yes. �Na <br />
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