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ARCHIVED REPORTS_XR0008052 CASE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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TRACY
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2900 - Site Mitigation Program
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PR0505512
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ARCHIVED REPORTS_XR0008052 CASE 1
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Entry Properties
Last modified
5/28/2020 2:52:46 PM
Creation date
5/28/2020 2:07:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008052 CASE 1
RECORD_ID
PR0505512
PE
2950
FACILITY_ID
FA0006827
FACILITY_NAME
BP/MOBIL SERVICE STATION
STREET_NUMBER
2375
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
23207003
CURRENT_STATUS
02
SITE_LOCATION
2375 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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Page--J—of <br /> Chain of Custody R rdOn-site Time Tem <br /> {' P Project Name 11194 GW MonitoringOff-site Time <br /> B11, BU/GE!N1 CO Poi tioho; Atlantic Richfield Co. Sky Conditions <br /> Bi' l aboratoi-} Coati actNumber: 451000 eteorolo cal Events <br /> Requested due Date(mm/dd/yy)r tad Speed,- Direction <br /> Send To• lite <br /> P/GEM Facile No 11194 onsuitantlContractor URS <br /> Lab Name Sequoia Petaluma P/GEM Facile Address 2375 TRACY BLVD,TRACY, CA Address 2870 GatewayOaks Dr Ste 300 <br /> i <br /> Lab Address 1455 N McDowell Blvd Suite D ite 1D No 11194 Sacramento,CA 95833 <br /> Petaluma,CA 94954 Lafton mail EDD denise ye&urscorp com <br /> California Global ID# T0607700011 onsultant/Contractor Project No <br /> Lab PM Mike GilesBP/GEM PM Contact PAUL SUPPLE Consultant TeleTax 916-679-2000/916-679-2900 <br /> TelelFax 707-792-1865/707-792-0342 ddress P 0 Box 6549 onsuliantlContractor PM ,teff 8roo <br /> e rt r Level level 1 lie rt&EBF tf>©F Re uired Mora a,CA 94570 nvotce to Consultant/Contractor BP/GEM ucle one) <br /> ,BP/GEM Account No 400-6-21124 Tele/Fm 925-299-88911925-299-8872 PlGEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysts <br /> N CrLI <br /> u p aN0 <br /> Sample Point LatlLong and <br /> Item <br /> No o v e Laboratory No c �, <br /> U $ Comments <br /> u H @ F ¢ �» <br /> vq o O' Q O Q �S e4 <br /> 3a 14z <br /> 1AAW-3 HIT Wfiq ivel 104-1110-Z <br /> 2 hM�l-�,� ►Z'1CJ a <br /> 3 •L x° ° <br /> 4 <br /> 16W L 11do <br /> 6 M W-1 pus a x <br /> x <br /> 9 <br /> to <br /> Sam lei's Name kelinqutsked B- /Af1<iliatt to imt By 1 Afriliabon ate imt <br /> Sampler's Company 'u JO tJ d U 1310 <br /> rhipme,n't <br /> Date Method <br /> Tmcictu No <br /> structions• Address invoice to BP/GEM but send to URS for apuroval <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes V No Temperature Blank Yes No Cooler Temperature on Receipt off'/C Trip Blank Yes No <br /> sp COC Rev 3 tuisro3 <br /> Distribution �k Intc Lop)-Laborator}/Yelloa Copy-BP1G£N1 /Pink Copy-Consultant/Coatractor <br />
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