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ARCHIVED REPORTS_XR0005845 CASE 2
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0545951
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ARCHIVED REPORTS_XR0005845 CASE 2
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Entry Properties
Last modified
9/24/2020 12:24:10 AM
Creation date
8/6/2020 11:34:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005845 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
Scanner
LSauers
Tags
EHD - Public
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rr x�3 <br /> raae--L-ui <br /> Chain of Custody Rid On-bite Time Tem <br /> -- <br /> Project Name ARCO 6020 GW Mon>ttorulgttt-=5,te Time ISO Tem <br /> It b <br /> 13P BCICEM CO Poi tfolio: Atlantic Richfield Co. Sky Conditions <br /> BI' i aboratoiI Contract Number. 461000 eteorolo tcal Events <br /> �. Requested Due Date(mm/dd/yy) 15x1 t}Daa_. ,nd Speed Direction <br /> end To' 8PiGEM FacilitX No ARCO 6020Consultant/Contractor URS <br /> ab Name Sequoia PetalumaBP/GEM Facili!Z Address 1711 E Yosemite Ave,MANTECA CA Address 2870 Gateway Oaks Dr, Ste 300 <br /> ab Address 1455 N McDowell Blvd Suite D Site ID No ARCO 6020 Sacramento,CA 95833 <br /> Petaluma, CA 94954 Site Lat/Lon -mail EDD denis2_yeepurscorp com <br /> California Global ID# T0607700873 onbultant/Contractor Project No <br /> ab PM Mike Giles BPIGEM PM Contact PAUL SUPPLE Consultant Tele/Fax 916-679-20001916-679-2900 <br /> ele/Far 707-792-18651707-792-0342 Address P O Box 6549Consultant/Contractor PM VERN E <br /> e ort rype LC%LI Level l Report EDF kit EDF Re uiredj Mora a CA 94570 Invoice to Consultant/Contractor BP/GEM %Fele one) <br /> P/(rlrM Account No ele;Tax 925-299-8891/925-299-8872 PIGEM Work Release No Intrim-54681 <br /> ab Bottle Order No Matrix Preservatives Requested Analysts <br /> w yt, <br /> 0 0� <br /> ;; x a g'O ° Sample Potn�.at/Long and <br /> NSample Description i abnratory ltio iW CD °O Ct1rn®ents <br /> o ,��, a t�7 F U allo 'Fr C!7 <br /> mss C <br /> a y rn <br /> 3 ¢ z° i =1 <br /> X <br /> 1 - 'y 1''j'13t+ dal" 02-2-4-if X <br /> 2 Mo <br /> 3 I `K`U X X <br /> 4 ( O > <br /> l x <br /> 6 16-1-10 U X <br /> 7 Mw. 11 lei y XXX )e <br /> K X x X ° <br /> 10 L b ! <br /> am ler's Name Rehnj�he&/Afffl,ation Date ime ed B),/Affiliation at 1.601C <br /> am ler's Com ani A Wf 1UP �ee— l s' IC610 <br /> ,hi meat Date <br /> ht meet Method <br /> Y <br /> to rent Tra(,kiri No <br /> oecial Instructions Address Invoice to BP/GENT but send to URS for approval <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> ustody Seals In Place Yes V No Temperature Blank Yes ✓No Cooler Temperature on Receipt of/C Trip Slink Yes No <br /> Distribution White Copy -Laboratory I Yello%v cop) BP/GEM I Pink Cap)-ConsukdnL/Contractor BP COC RLv 3 Q/15103 <br />
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