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ARCHIVED REPORTS_XR0002936
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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3202
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3500 - Local Oversight Program
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PR0545250
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ARCHIVED REPORTS_XR0002936
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Entry Properties
Last modified
1/30/2020 7:25:51 PM
Creation date
1/30/2020 4:07:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002936
RECORD_ID
PR0545250
PE
3528
FACILITY_ID
FA0001817
FACILITY_NAME
7-ELEVEN INC #35355
STREET_NUMBER
3202
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95209
CURRENT_STATUS
02
SITE_LOCATION
3202 W Hammer Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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�� �# • • Page "of <br /> Chain of Custody r Record <br /> -q� bOn-site Time Tem <br /> Project Name b2.c q J(- 0 4- � _ Off-site Time Temp <br /> BP BLUGENI CO Poi tfolio Sky Conditions <br /> BP Labot ator-v Contract Number IMetcorological Events <br /> late G � t ( r)z— Requested Due Date(mm/dd/p) Wind S eed Direction <br /> -nd To BP/GEM Facility NoConsultant/Contractor URS <br /> ib Name SEQUOIA BP/GEM Facile Address 3202 W HAMMER LANE, STOCKTON, CA Address 2870 Gateway Oaks Dr, Ste 300 <br /> ib 4ddress 885 Jarvis Dr Site ID No 11193 Sacramento, CA 95833 <br /> Morgan Hill, CA 95037 Site La -mail EDD denlse yee@urscorp com <br /> lifomta Global 1D# T0607700612Consultant/Contractor Project No <br /> ib PNI Laton a Pelt BP/GEM PM Contact Scott Hooton Consultant Tele/Fax 916-679-23871916-679-2900 <br /> le/Fax 408-776-9600/408-782-6308 AddressConsultant/Contractor PM VERN ELARTH <br /> ort Type&QC Level Send EDF Reports Invoke to Consultant/Contractor.or BPrGEN1 ),rcie one) <br /> '/GEM Account No 400-6-21124Tele/Fax IPPIGEM Work Release No <br /> ib Bottle Order No Matrix Preservatives Requested Analysts <br /> ua <br /> M <br /> w o LM .t)tu v1 <br /> G V ti <br /> �' ^ ° 7- , ,Sample Point Lat/Long and <br /> em No Sample Description Time "a Laborator) No c �' N m ¢ ¢ a1 ; <br /> f, Comments <br /> ,_ o o .v- c-, <br /> z <br /> 2 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 9 <br /> 10 <br /> irn let's Name -1 Relinquished B /Affiliation Date Time <br /> f Acce to By/AMlia Date rime <br /> im lei's Cor71 any <br /> -u ment Date C1 t 1 0 <br /> u went Method <br /> -a ment Tracking No <br /> )ectal Instructions Address Invoice to BP/GENT but send to URS for aporoval <br /> f l <br /> ustodti Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt of/C Trip Blank Yes No <br /> nc-:tnhFmtmn While r'nnv-I ahnratnry/Yellnw Conv-BP/GEM /Pink Coav-Consul tant/Contraetor BP COC Rev 1 V5/02 <br />
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