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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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Chain of Custodv ecor- n-%tc Time Team <br /> bp Project Name 14 ��-�°��, Off-site Time Temp <br /> BP RIJIUM CO Ptirtfoli 9 I_t �' s/ sky Conditions <br /> IBP Laboratory Contmct Ntttt mer: cteorologicai E}vnts <br /> Date: 6"Z ^0 Z Requested Due Date(mm/dd/yy) X1 1 Sid Durcuoo. <br /> Send To: P/GEM Facility No multmt/Contractor D <br /> b Name o P/GEM Facility Address 0 s 0 0 <br /> Lab Address Site ID No r D <br /> ate Lat/iong -maul EDD <br /> aliforma Global ID€1 FOP onsultant/Contractar Pro3cc4 o Q OQ <br /> Lab PM P/GEM PM Contact v v nsultant/Contraetor Tel 6-�i; - p <br /> Tele/Fax ss 0 e �`y asultant/Contractor PM 3 <br /> Rmort &QC Level S D voice to Consultant/Contractor o P/GEM a one) <br /> BP/GEM Account No Tele/Fax 2 - - P/GEM Work Release No d <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> a <br /> Item �, �;, �C �I '1�9 Sample Pomt LatALong and <br /> No Sample Description TI me Laboratory No m Comments <br /> v 00 <br /> l h Q 0 <br /> z <br /> 3 <br /> 4 <br /> 5 <br /> b <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampleta Name Itel�qu6 yDatc hne pled By r AffEstlon to kw <br /> savipices Company a <br /> Sht meat Date — 270 L <br /> Shipment Method v art <br /> Shipment Trackuag No <br /> Special Instructions- <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt °FIC Tnp Blank Yes No <br /> LABORATORY SP COC Rev 1 2/5N2 <br />
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