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ARCHIVED REPORTS_XR0007687
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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TRACY
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3425
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3500 - Local Oversight Program
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PR0545737
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ARCHIVED REPORTS_XR0007687
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Entry Properties
Last modified
6/8/2020 11:39:31 AM
Creation date
6/8/2020 10:02:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007687
RECORD_ID
PR0545737
PE
3528
FACILITY_ID
FA0003627
FACILITY_NAME
ARCO 02093
STREET_NUMBER
3425
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21418020
CURRENT_STATUS
02
SITE_LOCATION
3425 TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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Page Z o01 <br /> Chain of Custody Record <br /> ar -site Time Tem <br /> r � bp Project Name ARCO 2093 GW Monitoringoe site Time lSfs' Tem <br /> BP MUNI CO Portfolio: Atlantic Richfield Co. s Conditions l� <br /> BP I,abot atory Contract Number- 461000 eteoro10 ieal Events �1Jtlpl <br /> Requested Due Date(mm/dd/yy)__�t��� and Speed Direction , <br /> Send To- BP/GEM Faci!Lty No ARCO 2093 onsultant/Contractor URS <br /> ab Name Sequoia.PetalumaBP/GEM Facili Address 3425 TRACY BLVD,TRACY, CA ddress 2870 Gateway Oaks Dr Ste 300 <br /> b Address 1455 N McDowell Blvd Suite D Site ID No ARCO 2093 <br /> Sacramento,CA 95833 <br /> Petaluma, CA 94954 Site Lat(L o -mail EDD devise-yee@urswrp com <br /> altforrila Global ID# T0607700036 onsultant/Contructor Project No <br /> ffele/Fax707-792-1865 <br /> ike Giles BP/GEM PM Contact PAUL SUPPLE Consultant Tele/Fax 916-679-2000/916-679-2900 <br /> t 707-792-0342 Address P 0 Box 6549 onsultant/Contractor PM VERN E <br /> e ort T e& Level level 1 Re rt&EDF Mora a, CA 94570 nvoice to Consultant/Contractor $P/GEM ircle one) <br /> BP/GEM Account No Tele/Fax 925-299-8891/925-299-8872 P/GEM Work Release No Intrnn-50265 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> ua <br /> o OD <br /> Item V Y v = `d $ o <br /> Sample Description 5 <br /> No Labors No W X 'O n <br /> Q d ¢ o Sample Point Lat/Long and <br /> o m o �- ¢00 <br /> 64 Comments <br /> l —15 GYo W -� o <br /> 3 l <br /> s <br /> 6 ' <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> am Ier's Name G�� 5'[A� elin wished B /Atiffhation <br /> ate writ hcV4ed By/Affiliation ate ime <br /> Sam Ier's Com an ar 6 <br /> Shipment Date l'LlJ" 4 <br /> Shipment Method <br /> Shipment Trackiri Na <br /> Special Instructions Address Invoice to BP/GEM but send to URS for approval <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt /C Trip Blank Yes No <br /> D'strrbution Ohl rtc Copti Labara[or4 I Yil[otiv Conti -BPjGE�4 t Puil�Coe»-Conuilt�ndt��ntractrsr qa tnr r,. „„n, <br />
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