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ARCHIVED REPORTS_XR0011599
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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-------- ------ - --- - <br /> � <br /> :;Ce( <br /> B.P. OIL COMPANY N° 0387 <br /> 16400 Southeenter Parkway, Suite 301, Tukwila, WA 98188 <br /> INC0RF0RATt0 CHAIN OF CUSTODY <br /> THE ASSURANCE OF DUALITY <br /> Novato, CA, 11 Digital Drive, 94949 Huntington Beach, CA, 5702 Bolsa Avenue, 92649 <br /> Phone: (415) 883-6100 Fax: 415 883-2673 c Phone: 714 892-2565 Fax: 714 8904032 <br /> Consultant's Name: 1�5 ' Consultant Project#: 0 Y— ✓ © b Pae of <br /> Address: d Wei J ! <br /> 1 Ct^J�1 {aC <br /> Project Contact: Q Phone - ID -S I �ax#: S� 7 __ _ El- <br /> Sampledby (print): A-T Sampler's Signature: B.P. Site Location#: 1 5 1 <br /> Shipment Method: U N [ Airbil #: Shipment Date: B.P. Site Location: <br /> TAT: El 24 hr El 48 hr 1172 hr Standard(10 day) ANALYSIS REQUIRED Sample Condition as Received <br /> Temperature C: <br /> y� Cooler#: <br /> oInbound Seal Yes No <br /> �900 -8Outbound Seal Yes No <br /> C'n 4-1 r' kn c-I <br /> Q — 0) — o0 <br /> Sample Description Collection Matrix Prsv #of PACE C] co p a x U <br /> Date/Time Sowwater Cont Sample# d COMMENTS <br /> W x <br /> C.~` S 3 � 15sS27 <br /> 3 I5583,� <br /> W — Sys. <br /> v�} T sem, Ss <br /> �;-21Al I C 1 iIQ�5 n,a r <br /> ['- -- S1 D.q Mi,J-y 1/ch`r <br /> mit.r wl W"2 <br /> -p- *CL, +V-r( ��r <br /> Relinquished by/Affil' tion Date Time Accepted by/Affiliation Date Time Additional Comments: ! /Z <br /> S <br /> / l 7 <br /> Distribution: While-Original Yellow-B.P. Oil Pink-Lab Goldenrod-Consultant Field Staff <br />
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