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ARCHIVED REPORTS_XR0005739
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_XR0005739
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Entry Properties
Last modified
11/19/2024 1:50:32 PM
Creation date
4/1/2020 2:36:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005739
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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0 <br /> • Pagc_2 OW_ <br /> Chain of Custody Record On-slle Tian Tcrnp <br /> br)w Projtict Nanie 3002 Groundwater Sampling Event off,jite Mrn lenip <br /> .L BP BUIGEM CO Po�r[tol(or <br /> icy Conditlnns <br /> B111taboralary Contract h'1111 bel Meteorol"ral Hvenls <br /> Daae: 2-fq'6z Requested Due Date(mmf ddf A ]Ymd Speed- Direction <br /> Send To. BPfOEhT Faeilit ]lo.• ARCO Station 605 twonstiltant/Conti-aclar_ SF.COR <br /> 1.1b Name SEQUOIAA[fALYTICAL f3PIGEM t'hclltlyAdrlress sloo N.Hwy 99, Stockton Address 5017 Ml ora Rd.,Ste. IGO <br /> Lal)Address. 819 Striker Ave Site!D No Rancho Cordova, CA 855370 <br /> Saorarnento.CA Jtr834I Site Lal/Lon -mail EDD char=Osecancom <br /> Callfban1a Global IDT0607700319 (50111-tillanl/C:onlractor Project No <br /> Lab P14 Rnn Babel FIMEM nm Contact• [Pani supple C011silitwnt/Contractor Tele/Fax 918.861.0430 <br /> 'Cele/Fax: 9116 6219600 Address P.O. Box 8249 Consultant/ConiraLtvr M4' R Benkask <br /> Rc mt TyTje A QC Level Mora a. CA 011570 Involce to Call sul(ant/Conhactar or t3k/C1JM [O rcle) <br /> BP/GENI Acomi It NoTele/Fax 926 299.8891 Bl'/OEM Work Release No' 28878 <br /> Lab BotldoOrdcrNo Aia(rex Yrese3YAtites 1{crync5ie�]Analy�t� <br /> c� CO <br /> FU <br /> INo Sample Description Tlmc39 rim <br /> Laboratory i1To Sample Pofnt Lat/Long and Comments <br /> a o D <br /> 4 <br /> l 17W9 '17, x t G 1 1 IX x x <br /> 2 %MW-10 AV37 x 'O 6 1 1 IX I x X <br /> 3 DMW-1 /07o x s I D 6 Ix I x x <br /> 4 DMw- x G x x x <br /> s 1)MNV 3 1 A Ix tt x x x <br /> 6 WSW li sg x 1 6 X x <br /> 7 <br /> s <br /> Sampler's Nam KcHnsuUhed By/Affiliation a ecepted Bp{Aililiatl Date Time <br /> Sant lerls Company. <br /> SlA nielit[late. <br /> OWWAII rMl Slu ineaif Method t <br /> Siii yti,etit'1 ick[li No <br /> Sp eclal Instructlons- <br /> CILIS12lX Seals In Place Yes NQ___ Tem gent tire.Blank Yes Cooler Tunperatttre on R Tris M ank Yes No <br /> 17istnhtta11 Mute COPY-Laboratory I YcHow Copy-BKOEhi I Pmk Copy-Consu1tnUtlOonirsc1or DP LOC Rey.i T02 <br />
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