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ARCHIVED REPORTS_XR0011974
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WILSON
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130
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3500 - Local Oversight Program
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PR0545892
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ARCHIVED REPORTS_XR0011974
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Entry Properties
Last modified
7/22/2020 3:00:49 PM
Creation date
7/22/2020 2:23:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011974
RECORD_ID
PR0545892
PE
3528
FACILITY_ID
FA0003601
FACILITY_NAME
ARCO STATION #826951*
STREET_NUMBER
130
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205-5561
APN
15502064
CURRENT_STATUS
02
SITE_LOCATION
130 S WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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LSauers
Tags
EHD - Public
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Chain of Cilsto Record Page—f Z <br /> Project Name ARCO 5469 GWuarterly <br /> rkyConditions <br /> Tuue x tj Temp <br /> BP BU/AR ReglonlEniras Segment BP>Amencas>West Coast>Relait>WCBU>CA Tuire Temp <br /> >fthem>5469>Historical8L State or Lead Regulatory Agency San Joaqwn County Enmronm nlal M agement D Lgical Events <br /> Requested Due Date(inm/dd/yy) ed Direction <br /> Lab Name Sequoia BP/AR rac.lity No 5469 <br /> Address 885 Jarvis Drive Consultunt/Coatractor Stratus Environmental,hic <br /> BPM facility Address 130 S Wilson Way,Stockton,CA 95205 Address 3330 Cameron Park Drive,Suite 554 <br /> Morgan Ilill,CA 95037 Site Lat/Long N/A <br /> Lab PM Lisa Race Cameron Palk,CA 95682 <br /> California Global ID No 70607700888 onsultant/Contractor Protect No U5469 <br /> elerFax 408 776 9600/408 7$2 6308 EnFos Protect No GOBZP-0010 <br /> BP/AR PM Contact Paul Sup le Consultant/Contractor PM Jay Johnson <br /> Provision or RCGP Provision Tele/Fax 530 676 6000/530 676 6005 <br /> Address P Q BoxPhase/WBS 44-Mon/Remed by Natural Attenuation Report Type& C Level Level I with HDP <br /> Moraga,CAA 9 94570 Sub Phase/Task 03-Analytical <br /> Tele/Fax 925 299 8891 1925 299 8872 E-mail EDD To 1)emse Mantitla rsco com/clewitt tratusinc net <br /> Cost Element 05-Subcontracted Costs Invoice to Atlantic Richfield Company <br /> Lab Bottle 0t(let No Mati ix Preset vative <br /> �. Requested Analysis <br /> TJ tl Y. i� <br /> Item <br /> Sample Description o ry � � o � Sample Point Lat/Long and <br /> a <br /> Na � � Laboratory No 0 <br /> a o 0 o A Comments <br /> rn 3 LCADa I S z° <br /> 1 mw,z C1 1 �Gv SC a x k <br /> 2 raw- <br /> 3 P4�- 73g c 3 <br /> 4 MW- <br /> IF f x tZ sr; <br /> 6 <br /> 7 <br /> 8 <br /> W <br /> 3�v� LqV 0q W i f Uf <br /> Sampler's Name I I gats d ray/Ai0 tw Date Tlmc <br />� <br /> Sampler's ComDan A eepted By/Affiliation D to Time y si,GL Vr$ <br /> Shipment Date -�•(� /ark <br /> Sht mens Method Gem z f r"�"' C�..r. 25`s <br /> Shipment Tiacking No S 4M kt 3MIJ 1 S2a <br /> Special Insti actions <br /> i <br /> Custody Seals In Place Yes No ✓ Temp Blank Yes No Cooler Temperature on Receipt s z OF Trip Blank Yes No <br /> Distribution White Copy-Laboratory/Yellow Copy-BPIAtlantic Richfield Co /Pink Copy-Consultant/Contractor nn rnr•n. A ,A,I. <br />
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