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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0515037
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Last modified
2/6/2020 12:55:41 PM
Creation date
2/6/2020 11:37:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0515037
PE
2950
FACILITY_ID
FA0012023
FACILITY_NAME
ARCO STATION #434
STREET_NUMBER
501
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03119028
CURRENT_STATUS
01
SITE_LOCATION
501 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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PaoeJ—-t- <br /> Chain <br /> fChain of Custody Record -Site Time: p: C 5� <br /> 0 bp Project Name Station No.434 ff-site Time: )SM Temp: 3 << <br /> BP BU/GEM CO Portfolio: Atlantic Richfield Company ky Conditions: S U v,v. GI <br /> ffll BP Laboratory Contract Number: Meteorolo ical Events: <br /> Date: Y I�i Requested Due Date La I e q Wind S ed: Direction: <br /> Send To: BP/GEM Facility No.: 434 =mayConsultant/Contractor: URS Corp. <br /> Lab Name: SegLkOia BP:GEM FaWit y Address: 501 W.Kettleman LN.,Lodi,CAAddress: 2870 Gateway Oaks Dr.,Ste 300 <br /> Lab Address: Site ID No. ARCO 434 Sacramento,CA 95833 <br /> 1455 N.McDowell Blvd.,Suite D ite Lat/Lon : -mail EDD: Denise Yee urscor .com <br /> V <br /> California Global <br /> 11)#:'1'0607700886 <br /> Petaluma,CA 94954 onsultattt Project No.: 38466401 <br /> R Lab PM: An Glee Cari BPiGEM PM Contact: Paul Supple onsultantTele/Fax:916-679-2000/679-2900 <br /> Tele/Fax: 707.792-18651707.772-0342Address: P.O_Box 6549 Consultant PM: Vernon l3larth ` <br /> Report Type&QC Level: Level I Moraga CA,CA 94570 invoice to: BP/GEM (\ <br /> BP/GEM Account No.: elefFax: 925 299-8891 nfos Project No: G09IZ-0035 <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> H <br /> c <br /> U <br /> oTo <br /> Clem Sample Description Time Laboratory No. Ox s Sample Point Ladl ung and <br /> No. <br /> Comments <br /> s X °° co <br /> � oo ttl O <br /> O � iu u dl > ,fir, chi <br /> rij O C7 Q <br /> Z <br /> 2 AW <br /> 3 i —Z- <br /> 4 <br /> 5 <br /> 6 Cn .I rR US rO DI S LS INTACT <br /> 7 <br /> 9 <br /> 10 <br /> Sampler's Name: Matt Farris Relinquished By I Affiliation Datt Time eeepted$y f Affiliation Wte ime <br /> Sampler's Company:URS Co oration <br /> Shipment Date: d D <br /> Shipment Method: <br /> Shipment Tracking No: <br /> Special Instructions: "$Oxygenates-additives=MTBE,TBA,DIPE, ETBE,TAME, 1,2-DCA, EDB,and ethanol <br /> '''If total lead value is>50 analyze for lead b STLQ if S'I'LO value>5 m,analyze for lead b TCLP <br /> Custody Seals In Place Yes No Temperature Blank Yes K No Cooler Temperature on Receipt of/C Trip Blank Yes K No <br />
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