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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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g fClain of Custody eco -Site 11MCa °lcmp <br /> Project Name f=site Tune T=p r% <br /> BP RlJMEM CO Nrtf'blio: (1� [/�i /J <br /> l�`F��r fl 4rL ,gi�I-1�fN <br /> W6 !J7 f2 <br /> BP Laboratory Contract Number: IMCtoomlogical vents- <br /> Date: 6 -27- 0z- Reguezted Due Date(mm/ddlyy) /2 -O L lVind Speed Dmxtion <br /> Send To: P/GEM Facility No onsultant/Coniractor <br /> Lab Name P/GEM Facility Address pQ ss p O O <br /> Lab Address Site ID No S9 +r o f 6 d <br /> ite Lat/I ong -mail IDD /a <br /> aliforma Global ID# p p 0 p ansuitanl/Contractor Pnoj No 0 0 <br /> Lab PM P/GEM PM Contact onsultant/Contractor Tcle/Fax q/�• —0 Q(J O U <br /> ele/Fax 0 onsultont/Connwtor PM v3 <br /> Report Type&QC Level p voce to Consultamt/Contracto o PIG C le one) <br /> BP/GEM Account No eldFax f p P/GEM Work Rckmw No pP0 Oa <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> Item �, N Sample Point Lat/Long and <br /> No Sample Description Time a Laboratory No g n Comments <br /> aI G o• <br /> O <br /> I W-I SD ' 9;x'0 )(I KDa , <br /> 2 p kl- IaroO OIA I <br /> 3 W- 10('/0 02/� <br /> 4 w- 0 ' 18,20 <br /> s <br /> w•1 0 ' Of � o� II XIX, <br /> W�g 0 ' e 0 I <br /> 8 kJ•y ZO J 17`efl l <br /> E1,01 <br /> w- 3r df D X Id '{b ' Leto r L 1 1 1 X <br /> ±LL <br /> Samplees Name e"11.1 y 94 Rebnquts d tr Time ped By l Affi iation oa <br /> Sampler's Com an (1►/C - ,02 0 0 <br /> Shipment Date p 2 <br /> Shi meat Method 0t ri v NE <br /> Shipment Tracking No <br /> Special Instruetioos• <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt °F/C Trip Blank Yes No <br /> LABORATOPY BP COC Rev 1 215M2 <br />
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