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ARCHIVED REPORTS_XR0005844 CASE 2
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0545951
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ARCHIVED REPORTS_XR0005844 CASE 2
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Entry Properties
Last modified
9/24/2020 2:31:33 AM
Creation date
8/6/2020 11:34:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005844 CASE 2
RECORD_ID
PR0545951
PE
3528
FACILITY_ID
FA0003612
FACILITY_NAME
Yosemite Avenue Arco AmPm
STREET_NUMBER
1711
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
Ave
City
Manteca
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
1711 E Yosemite Ave
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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LSauers
Tags
EHD - Public
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Chain of Custody Record Page of <br /> Obp Project Name: ARCO 6020 OW quarterly On-site Time p ba a Temp (,er <br /> RP MAR Region/EnfosSegment aP>14owxw>Wed Coad>Relad>WCBU>CA -site Time 11;b Te <br /> >CenUal>6020>IfistomML Sky Conditions <br /> State or Lead Regulatory Agency. N gionsl Wafer Quality Control Board-Cardial Valley Regio Meteorological Events tV A <br /> Requested Due Date(miWdd/yy): i�a�� Find Speed NI A Direction A1 <br /> Lab Name Sequoia MAR Facility No 6020 ConsultanVContractnr URS <br /> Address 885 Jarvis Drive MAR Facil Address 1711 E Yosemite Avenue,Manteca,CA 9533 t� <br /> Address 2870 atewa Oaks Drive,Suite 300 <br /> Morgan Bill,CA 95037 Site LaYLong NIA Sacramento,CA 95833 <br /> Lab PM Lrsa Race California OlobaI ID No 70607700873Consultant/Contractor Project No 38466540 <br /> Tole/Fax 408 776 9600/408 782 6308 Enfos Project No GOCIV-0002 Consultant/Contraotor PM Vernon Marth <br /> IBP/AR PM Contact.Paul Stipple Provision or RCOP Provision Tole/Fax 916 717 5045 1916 679 2900 <br /> Address P O 13ox 6549 Phase/WBS 04-Mon/Remed by Natural Attenuation Report Ty2e&9C Level. Level 1 with EDF <br /> Mora a,CA 94570 Sub PhwwTask. 03-Analytical &mail EDD To Denise Yee@urscorp com <br /> Tele/Fez 925 299 8891/925 299 6872 Cost Element: 05-Subcontracted Costs Invoice to Atlantic Rtch0eld <br /> Lab Botfly Order No Matrix Preservative Requested Analysis <br /> 0�0 � O <br /> Item .. Sample Point Lat/Long and <br /> Sample Description Laboratory No _ <br /> 11io � d �o Comments <br /> Cr <br /> VJ /+ 0 W <br /> 1caw-S 6 'S t W nl X jt X <br /> 2 m TA r +� ,y `SIC X yc x X <br /> 3 !`,W- 13oa ��//�I W t+) 3 X K X <br /> 4 In/` ���� to�t la 6y Ic tc X >( <br /> 5 W' q 1z-3y" l Iw 0 4[ <br /> 6 •w [b 13U0 X31 �' e� <br /> 7 W �[ D6U 5.3t o 1( -4 _Y. <br /> 8 w -tti nD i5ki ke �d' 3 <br /> 9 ,rh Iry't D I'tati 0 31 �'°/ oq %+ 7C ?� <br /> 10 TCS` C7A l/i rs� ` 1 t W <br /> Sampler's Name l Relinquished By/Affiliation to Tyne Accepted By 1 AtIiilatlon Date Time <br /> am lei's Company S r,r,•t o ct T Gr a do p <br /> hi ment Date G 10 0720 <br /> hr meta Method <br /> Shipment Tracking No <br /> etial Instructions <br /> Custody Seals In Place Yes No Temp Blank Yes No Cooler Temperature on Receipt a kC TpBleak Yes No <br /> Distribution. White Copy-Laboratory/Yellow Copy-BP/Atlantic Richfield Co /Pink Copy-Consultant/Contrackw BP COC Rea 4 10/1/04 <br />
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