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ARCHIVED REPORTS_XR0007689
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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TRACY
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3500 - Local Oversight Program
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PR0545737
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ARCHIVED REPORTS_XR0007689
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Entry Properties
Last modified
6/8/2020 11:21:34 AM
Creation date
6/8/2020 10:04:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007689
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
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LSauers
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EHD - Public
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N* F7 !?,1?�r31 Page I of <br /> 113 {,r r S <br /> Chain of Custody Record n-site Time �v Tem sZ <br /> "q bp Project Name ARCO 2093 GW Monitoring Off-site Time Temp d� <br /> BP RUG EM CO Pot tfolio: Atlantic Richfield Co. SM Conditions �! - <br /> Bt" Lalioraton Conhact Numbei. 461000 Neteorological Events $yea: <br /> Requested Due Date(mm/dd/yy) kyindS2ecd 5^6 Direction Cr <br /> Send To, P/GEM Facility No ARCO 2093Consultant/Contractor URS <br /> Lab Name Sequoia Petaluma PIGEM Facility Address 3425 TRACY BLVD,TRACY, CA Address 2870 Gateway Oaks Dr,Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D tte ID No ARCO 2093 Sacramento,CA 95833 <br /> Petaluma, CA 94954 ite Lat/Lon -mall EDD denise ee urscor com <br /> California Global ID# T0607700036Consultant/Contractor Project No <br /> Lab PM Mike GilesBP/GEM PM Contact PAUL SUPPLE Consultant lele/Fax 916-879-20001996-679-2900 <br /> Tele/Fax 707-792-18651707-792-0342 Address P 0 Box 6549Consultant/Contractor PM VERN E <br /> Report T e&OC Level Level I Report&EDF Mora a CA 94570 P voice to Consultant/Contractor BP/GEM -ie om) <br /> BP/GEM Account NoTele/Fax 925-299-88911925-299-8872PP/GEM Work Release No Intnm-50265 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysts <br /> ua <br /> 0 <br /> u ns o <br /> Item Dest-rtphon o g 3 Sample Point Lat/Long and I <br /> e~ ¢ Comments <br /> o t,a00 <br /> ° 3 ain <br /> g z° z g o <br /> LLI <br /> 1 zvo-c, 6 <br /> zx d x >< x x <br /> 3 -1 394 r(3 1),)3ta00; <br /> 4 <br /> S <br /> 6 <br /> 7 <br /> 8 V <br /> 9 <br /> 10 <br /> Sampler's Nam {0^�� elin uisbed ByIAffiliation tate ime �cUpted# Affiliation ate Ime <br /> Sampler's Company U�, U 6, L.7 ,�V Mp <br /> Shipment Date VzV& &'ts- r s -)-r, ,r <br /> Shipment Method ✓ �i �' I(p <br /> Shipment Tracking No 31 <br /> necial Instructions Address Invoice to BP/GEM but send to URS for airnroval <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> k—stody Seals In Place Yes 1s No temperature Blank Yes No Cooler Temperature on Receipt OF/C Trip Blank Yeses No <br /> Diwjhollurl V hilt yup) Labur,irur) �411uu(,op) -BP/(jL\I , Puik Cupy-CuFu4ltuiLCuntrautor RP Coe Rev 3 1211"3 <br />
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