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ARCHIVED REPORTS_XR0011682
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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501
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2900 - Site Mitigation Program
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PR0508007
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ARCHIVED REPORTS_XR0011682
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Entry Properties
Last modified
2/6/2020 5:46:32 PM
Creation date
2/6/2020 2:50:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011682
RECORD_ID
PR0508007
PE
2950
FACILITY_ID
FA0007880
FACILITY_NAME
ARCO FACILITY #434
STREET_NUMBER
501
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03119028
CURRENT_STATUS
02
SITE_LOCATION
501 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Paste I QMILt <br /> Chain of Custody Record On-site Time Tem <br /> bp Project Name ARCO 434 GW Monitoring. Off-site Time septi <br /> 'Irk <br /> BP WGLi1'l CO Portfolio: Retail Sky Conditions <br /> BP Laboi atony Conti act Number: Atlantic Richfield Co. Meteorolo&ical Events <br /> Date 9- S19- 2003 Requested Due Date(mm/dd/yv) Wind Speed ,yih k Dircmtion I</w <br /> 3` end ToBP/GEM Facility No ARCO 434 onsultant/Contractor URS <br /> JLab Name SEQUOIA BP/GEM Facility Address 501 W KETTLEMAN, LODI,CA Addrem 2870 Gateway Oaks Dr,Ste: <br /> Lab Address 1455 N McDowell Blvd Suite D Site ID No ARCO 434 Sacramento, CA 95833 <br /> Petaluma,CA 94954 Site Lat/Lon -mail EDD demse ee ursco com <br /> alifornia Global ID# T0607700886 ConsuItanuContractor Project No <br /> Lab PM An elee Can BPIGEM PM Contact PAUL SUPPLE= Comuluint TelelFax 916-679-2387 1916-679-2900 <br /> Tele/Fax 707-792-18651747-792-0342 Addros4 P O Box 6549 ConsultaWContractor I'M VERN E <br /> Report T e R gf Level Level 1 Mora a, CA 94570 Invoice to Consultant/Contractor BP/GE oa <br /> BP/GEM Account NoTele/Fax 925-299-88911925-299-8872 IIBNGEM Work Release No Intron-50433 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> Item No Sample Description Time Laboratory No o 00 a0 Sample Paint LaI.ot an <br /> 0 E o a o q z F- <br /> Commet�fts <br /> 2 M <br /> SO <br /> 1 - i Ax x <br /> 2 ]-� 1130 kc Yc <br /> 3 t-jrt;K r X d <br /> 4 1110 7t <br /> 7 T13 —7 Z XI Y, Ix I Iau {oc <br /> 8 <br /> Eigo -- <br /> Sant let's Name of f- Relinquished B /Affiliation Date ime Acqgpted By/Affiltanon,1 Date ime <br /> Samplers Com an ilk to ire ,4 '0 I J,/?0 if q4; 0 <br /> Shipment Date 4 I <br /> 'Shipment Method YACp-, (' ill <br /> Shipment Trackin No <br /> pecial Instructions Address InNoice to BP/GEM but send to URS for approval -If total lead value is?50 analyze for lcad4jLSTLC,value is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> ustody Seals In Place Yes_2< No Temperature Blank Y!Ly, No Cooler Temperature on Receipt (]'FIC Trip Blank Yeses_No <br /> Disinbuuon White Copy Laboratory/Yello A Copy-BMW i Pin],Copy-Ggpsuttant Contractor BP COC Rev 1 215142 <br />
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