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ARCHIVED REPORTS_XR0012003
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_XR0012003
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Entry Properties
Last modified
7/22/2020 2:52:10 PM
Creation date
7/22/2020 2:42:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012003
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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EHD - Public
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gage�-.ot <br /> Chain of Custody cord <br /> n-site Ttrrie v 7V p ; <br /> Project Name: ARCO 5469 GW Quarterly Tem <br /> Ofd site Time <br /> BP BUTAR RegiciofEnfos Segm >ent: 1>Ainaricas>West Coast>Retail>WCBU>CA Conditions <br /> >Norihem>5469>HrstorrcalBL k7' <br /> 01) State or Lead Regulatory Agency: San Joaq>nn County Environmental Mao ement peMeteorol0 ical Eventspt Wind Speed Direction <br /> Requested Due Date(mmi/ildlyy) <br /> P1AR FacilityNo 5469 Consultant/Contractur Stratus Environmental,Inc <br /> Lab Name Se uoia <br /> 50 <br /> Address 145513 McDowell Blvd,Suite D BP/AR Facility Address 130 S Wilson Way,Stockton,CA 95205 ddress Came Cameron�,CA Drive, <br /> Suite� <br /> Petaluma,CA 94954 Site La11I ong NIA <br /> ro <br /> alifomta Global ll7 No 70607700888 Consultant/Contractor Pec.tNo 115469 <br /> Lab PM Robert Buller ConsultaiiVContractor PM jay Johnson <br /> I ele/Fax 707 792 1865 1 707 792 0342 Enfos Project No G09JZ-0290 <br /> rovision or RCOP Provision ele/Fax 530 676 6000 1 530 676 6005 <br /> BNAR PM Contact Paul Su le Re ort Ty e&QC Level Level 1 with EDF <br /> Address P O Box 6549 Pltase/WBS 04-Mon/Remed by Natural Attenuation <br /> Sb PlraselPask 03-Analytical -mail EDD 7o Denise Yee ursco cern <br /> Sub Moraga,CA 94570 invoice to Atlantic Richfield Company <br /> I eleiTax 925 299 8891 r 925 299 8872 Cost Element 05-Subcontracted Costs <br /> Lab Bottle Order No <br /> Matrix Preservative Requested Analysis <br /> Sample Point La1/Long and <br /> v > Comments <br /> ItemE m -0 Laboratory No ° b o <br /> Sample Description o UU, O 5 <br /> No o a cn U m <br /> z �n �F x <br /> a/ <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 E CU T Y EA S I TA <br /> 7 TN <br /> 8 <br /> 9 <br /> 0 E <br /> �-.. <br /> 10 Re y!Aff n Date Time Accepted By 1 Affiliation Date lime <br /> Sampler's Nam or/ <br /> Sam icr's Com an I <br /> Shi ment Date 0 <br /> Slit meet Method 590 <br /> Shipment Tracking No <br /> Spe+.tal Instructions <br /> Cooler Temperature on Receipt 0F1C Trip Blank Yes No <br /> Custody Seals lit Piace Yes No Tem Blank Yes No <br /> Consultant/Contractor gp COC Rev 4 1011104 <br /> „ , , ,►ter,,,,,, r �tt�w C nnv-BPIAtiantic Richfield Co 1 rink Capy- <br />
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