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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 3 of. <br /> 4k Cham of Custody k,;cord On-site Time: Temp: <br /> . ---. <br /> r Project Name: First Quarter 2006 Quarterly Groundwater Sampling Off-site Time: Tomp: <br /> :- > <br /> ¢;`>; „„ „ w, BP BUTAR Region/Enfos Segment: Atlantic Richfield Company Sky Conditions: <br /> State or Lead Regulatory Agency: Sane Joaquin County EHD Meteorological Evcnts: <br /> Requested Due Date(mm/ddlyy): Wind Speed- Direction: <br /> r <br /> e: Se o 2 Analytical BP/AR Facility No.: 2133 Censulttuit/Cattractor: SECOR International Tnc. <br /> 985 Jarvis Drive MAR FacilityAddress: 2908 Benjamin Holt Dr.,Stockton,CA Address: 3017 Kilgore Road,Suite 100 <br /> Mor Hill,CA 95037 Site Lat/Lon : 381-121.3 Rancho Cordova CA 95670 <br /> Lisa Race California global ID M T0607700002 Consaltwit/Centractor Project No.: 77BP.52133.05.0004 <br /> (408)782-8156 Enfos Project No.: ConsultantlContractor PM: Brian Carey <br /> MAR PM Contact: Paul Supple Provision or RCOP circle one G f7 ele/Fax: 91861-0400 x229! 916)861-0430 <br /> Address: PO 13ox 6249 PhaseMBS: Report Type& C level: <br /> Mara a,CA 94570 Sub PhaseJPask: mail EDD To: kea Mand <br /> Tole/Fax Cost Element: ico to: Consultant or BP or Ailautic Richfield CLair Bottle Order No: Matrix Preservative Requested Analysis <br /> Sample Point La <br /> ° o Comments <br /> rI o ti Sample Description b 04 Lahornfory No. o x *Oxygenates vtclode MtBE,TAME, <br /> E-` A 0 ° °O DIPS,MBE,TBA,othanol,1,2-DCA,& <br /> HI <br /> ° �, z -� EDB ILI <br /> v°� Z ] x x P4 Pq <br /> 1 MW-5 X 3 X X 38.0045422! -121.3498722 <br /> 2 G"1 B MX 3 X X <br /> 3 <br /> 4 <br /> 5 <br /> LJ <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name: Ralinquis!ed By/Affiliation A Acce ted By/ dintlon Date T1me <br /> Sam let's Company: Z <br /> Shipment Date: 2 <br /> Shipment Method: ` ' � <br /> Shi MMATTatskin No: <br /> ectal histr•uctions: P—rna` Lab u q f-- c' <br /> Custod Seal ace Yes No Tem Blank Yes No AdkCoolcr Temperature on Receipt I• IC Lit2 Blank Y N <br /> I <br />
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