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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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. Psgc 3 O <br /> s (Bain of Custody Record Qit-site Mni'nenip <br /> . , r i'i-oject Name 3002 Groundwater Sampling Event nor site I)FnTaffnp <br /> bp <br /> BP Bu/OE',Ni CO Portfolio. 3ky Coudittons <br /> RP UbotateryContract Numb iMcLconalo lLal EbCrtts <br /> pate: ?-i"l Requested Due Date [nmifddl -4iPW92L 1Vind Speed- r}imctiorr <br /> Send To HPJCFhl Facility No ARCO Station 1505 Consultant/Conti-ac(or SECOR <br /> 1.dh i`ime: BP/GEM F�Rcllily Address;0100 N Hwy 99, Stockton Addnss 3017 Kilgore Rd.. Ste. 100 <br /> l.al)Addr¢ss 819 Striper Ave Sde ID No Rancho Cordova. CA 95070 <br /> Sacramento, CA 99834 51te LnE/Lon a-malt EDD charms0secor.com <br /> Catlfontla 113T0607700319 Cail3UR.Ult/Contractor Prolcct No <br /> Lab PM Ikon BoUl BP/GEM Piot C,ontaet lPa vl:supple Consullant/Con tractorTelp-)Pax 916.801,0430 <br /> We/Fax 018.921.01900 Address P.O Box 0249 Consultant/Contractor PM. R Eenkosky <br /> Report Type&QC;Lavel Moraga, CA 941570 Nvotec Lo Con sultantlContractor or BPJGEM (Circle) <br /> .B PIGEM Account No ele/Fax 9215,299.8891 BP/GEM Work Retrase No 28873 <br /> I.ahAot(tcOrdcrNo hSatsi• i'resctratties 1Ceryiecsted,tlinalpiq <br /> ItemSam to Point Lat/Lo and Comments <br /> No. Sample Descrlptinn Time aboratot f No , x o P <br /> a D Q " <br /> Zr <br /> P. <br /> z a x o <br /> 1 DW-1 x ~~ x---- --- x- x' t <br /> I csB x x x ix <br /> s <br /> 6 <br /> It <br /> .sant ler's Name RdingnlsBed By{Atrillallo my ceepted By/ a1 t oto Inc <br /> S<uu glee. Caul V. <br /> shipment Mell7ad' <br /> ShipmefflTm,ckitig Wo. <br /> Special Instructions: <br /> C'uslody Seals 1n Place Yes -No Temperature 131tink Yrs NTa €unset Tempemtuic all R'frlp Blank Yc.s No <br /> 1)1&iributl Da Wrote Copy-Laboratory/Yellow Copy-BP/GEh4 i Fmk Copy-0=81111.^utWontratAor er coc ntv i i~1.Boa <br />
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