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ARCHIVED REPORTS_XR0011599
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HARLAN
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16500
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3500 - Local Oversight Program
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PR0545275
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ARCHIVED REPORTS_XR0011599
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Entry Properties
Last modified
2/3/2020 2:19:41 PM
Creation date
2/3/2020 12:47:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011599
RECORD_ID
PR0545275
PE
3528
FACILITY_ID
FA0005678
FACILITY_NAME
LATHROP SHELL
STREET_NUMBER
16500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
16500 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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B.P. OIL"COMPANY No 0944 <br /> 9 16400 Southeenter Parkway, Suite 301, Tukwila, WA 98158 <br /> lNcoevoaartc <br /> CHAIN OFCUSTODY <br /> TME ASSURANCE OF QUALITY <br /> Novato, CA, 11 Digital Drive, 94949 Huntington Beach, CA, 5702 Bolsa Avenue, 92649 <br /> Phone: 415) 883-6100 Fax: (415) 883-2673 Phone: 714 892-2565 Fax: 714 890-4032 <br /> Consultant's Name: / t `� .'� �% o Consultant Project#: ✓� • /�� Z Page of <br /> Address: l? 77 �� � jL �'� C7 �Y - C,, ry C AQ"16179 <br /> ��; 1 7 Work Order#: GO2�� ''— D <br /> Project Contact: ' 00/O - Phone #:6?49 1 —(�5 Fax f�: �r�J S' r��. Consultant ��c <br /> Sampled by (print): tc� �'Nvr� - Sampler's Signature: fJGt .� B_P. Site Location#: 1 C <br /> Shipment Method: Air�billl 4: Shipment Date: B.P. Site Location: <br /> TAT: F-124 hr 1148 hr ❑ 72 hr [J Standard(10 day) ANALYSIS REQUIRED Sample Condition as Received <br /> Temperature' C: <br /> Cooler#: <br /> oInbound Seal Yes No <br /> Outbound Seal Yes No <br /> Sample Description Collection Matrix Prsv #of PACE C7 cc A m x It U <br /> Date/Time Soil/Water Cont Sample# a Li, Q o COMMENTS <br /> hW H W F1=1 :1" 00 <br /> fYl iu- 7-C ' � G r 1�� t3•� �/ <br /> elinquished by/Affiliation Day Time Accepted byl tiiation Dat I Time Additional Comments: <br /> g K <br /> Distribution: r / White-Original Yellow-B-P. Oil Pink-Lab Goldenrod-Consultant Field Staff <br />
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