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ARCHIVED REPORTS_XR0005738
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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6100
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2900 - Site Mitigation Program
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PR0515353
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ARCHIVED REPORTS_XR0005738
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Entry Properties
Last modified
11/19/2024 1:50:32 PM
Creation date
4/1/2020 2:35:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005738
RECORD_ID
PR0515353
PE
2950
FACILITY_ID
FA0012099
FACILITY_NAME
ARCO STATION #595
STREET_NUMBER
6100
Direction
N
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
6100 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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�r ��' i Page 2 - <br /> L�lt`iii� Uri1150dRecord 22--mire _ <br /> ' M Project Name 3402 Groundwater Sampling went Of al#e •17M lemp <br /> bp BP BUIGEINI CO NAM to: <br /> ky Cond[ttons ' <br /> 131'Laboratory Contract Ny1m bei- Meteorola teal Lvvn[s <br /> Date:?-1`$-16Z Requested Due Date[mm/dd/ .Q AC IlMild Speed- Uirechon <br /> Send To. 8P/OEM Faefllt No• ARCO Station 89S Consultant/Conti-actor- SF.COR <br /> I.ib Name SEBUM ANALYTICAL OP/OEM I1,%e1tlLy Addles 6180 W.HWy 89, Stockton ddms%, 3017"gore Rd.,8to, 1GO <br /> lab Adrtres.q;: 819 Striker Ave, Site ID No Rancho Cordova, CA 95670 <br /> Sacramento,CA 915834 Site iaL/Inn -mall EDD oharms0secor.com <br /> Calffornta Olobal ID T060770031 9 PrEgect No <br /> Ub PM Ruh Babel PIP/CEM FIV CozAact* Maul Supplo Consultwit/ContmdorTcle/Fax 918.881.4430 <br /> "fele/Psaxz 916 921 0600 Addmss P.O, Box 6249 ConsulLan t/ConlraLtor PM, R Benkeak <br /> Repoi#Type A 91.Level Mora a, CII,94570 litti'olce to I-air ul(anL/Conhactor or Alla/OEM (C.tirele) <br /> BP/UEhl Acmunt No• ele/Fax: 92 '99.8891 Eat'/OEM 1Vork Release No: 28878 <br /> L.abBu(dz(adcrNo Alafrex Recpic-90d Amlyak <br /> m <br /> CO <br /> Pd <br /> CO <br /> C <br /> t} <br /> Item Sample DesoripUan Tlnte ° -4aboratoryr No '" p Sample Port l at/1 ang and Comnwnts <br /> 1+10. Q v <br /> t+ a .- <br /> eg <br /> ;4 � w <br /> I MW-9 x UlrqLkq-Oh G X1 I x x <br /> 2 !W-10 X `U G 1 x x Ix <br /> In MW-1 10-ODx r`l D 6 x x X <br /> 4 llr W x G IX x x <br /> 5 DMV14 # x G X x x <br /> G WSW x 61 x x x <br /> 7 <br /> SSnlplm's Nam ' Raltngnfshtl By/Affiliation a ocepted Bp/AffMatic Date Time <br /> Sant er's Company. ecky PIC) <br /> 8111 1i ient Date -2-19-07- <br /> SWInneiat Method # <br /> ShIpment'Imckigg No <br /> Speetal Instr uotlons: <br /> Custody Seals In Place Yes No Teul pern(tire Blank Ye--9 No Oouler Tmnperiture on R Trip Bktnk Yes No <br /> Distnbntion White Copy-Laboiatory/Yellow Copy-BROW /Pink Copy-Consultant/Conlraclor BP(.'OC Rcr.1 WA2 <br />
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