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ARCHIVED REPORTS XR0000395
Environmental Health - Public
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EHD Program Facility Records by Street Name
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B
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BENJAMIN HOLT
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2905
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3500 - Local Oversight Program
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PR0544110
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ARCHIVED REPORTS XR0000395
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Entry Properties
Last modified
2/7/2019 9:48:45 AM
Creation date
2/7/2019 8:53:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000395
RECORD_ID
PR0544110
PE
3528
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
02
SITE_LOCATION
2905 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Page--Z—of. <br /> Chain of Custody K,;cord On-site Time: Tenip: <br /> Project Name: First Quarter 2006 Quarterly Groundwater Sampling Off-site Time: Temp: <br /> ,. BP BUTAR RegionlEnfos Segment: Atlantic RichfleId Cotn any Slry Conditions: <br /> State or Lead Regulatory Agency: San Joaquin Coun BUD Meteorological Events: <br /> Requested Due Date(mmlddlyy): Wind Speed: Direction: <br /> Lab Name: Sc coin Anal 'cal BP/AR Facility No_: 2133 onsultant/Contractor. SE COR International,Inc. <br /> dfess: 885 Jarvis Drive BP/AR Facility Address: 2908 Benj wnin Holt Dr:,Stockton,CA Addross, 3017 Kat ore Road,Suite 100 <br /> Mor an Hill CA 95037 Site LaVLon : 381-121,3 Rancho Cordova CA 95670 <br /> Lab PM' Llsa Race California Global ID 9:T0607700002Consultant/Contractor Project No.: 77BP.52133.05.0004 <br /> ele/Fax: (408)782-8156 Enfos Project No.: C nsultant/Contractor PM: Brian Carey <br /> BP/AR PM Contact: Paul SuppleProvision or RCGP circle ele/Fax: 91 861-0400 x2291 916)861-0430 <br /> Address: PO Box 6249 PhasdWBS: Re ort Type&gC Level: <br /> Mora a CA 94570 Sub Phaserfaslr: E-mail EDD To: <br /> elelFax: Cost Element: Invoice to: Consultant or BP or Atlantic Richfield Co. circle one <br /> Lab Bottle Order No: Matrix Preservative Requested Analysis <br /> i <br /> Sample Pont Lat/Long and <br /> b <br /> Comments <br /> Item *Oxygenates include MtBE,TAME, <br /> Sample DescAption Laboratory Na. a <br /> Ma o DIPS,EtBE,TBA,ethanol, 1,2 DCA,& <br /> w <br /> oo O d EDB 2 O <br /> rn �` z � '�� � x A4 A4 <br /> 1 -12 t7 X1 1 11 3 1 Ix X I I I I I 1 1 38.00439651 -121.3498325 <br /> c 2 -1 15TO X -V 3 1 X X 1 38.00454221 -121.3498722 <br /> id <br /> 3 PR-2 } X 11 3 1 X xi 38.00444791 -121.3502044 <br /> a 4 BHD-1 IS2,51 sabA X 14, 3 X X 38.0044238! -121.349667 <br /> ` 5 IID-2 voL X I I If 3 X X 38,00454681 -121.3498026 <br /> d 6 -1 X /4 3 X X 38.00475361 -121.3498869 <br /> s 7 W-2 A1A "a X l 3 X X 38.00432111 -121.3499147 <br /> 8 MW-3 (6V� �( X 3 X X 38.00443051 -121.3498628 <br /> 9 �, X t� 3 X X 38.00439651 -121.3498325 <br /> 1 <br /> Sampler's Name: ` Relinquished By 1 Affiliation Date Time Accepted B Affiliation Date Time <br /> Sampler's Cam an : t;p <br /> Shipment Date: <br /> a dOW <br /> Stu Ment Method: <br /> Shipment Tracking No: <br /> Special Instructions; C re Cor,CG <br /> Custody Seal lace Yes No Tem Bionic Yes No A&Cooler Temperature on Receig ° IC --T—r-iE Blank Yes N <br />
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