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ARCHIVED REPORTS XR0000396
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 XR0000396
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Entry Properties
Last modified
2/7/2019 9:59:06 AM
Creation date
2/7/2019 8:54:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000396
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 1 <br /> =E<i <br /> - a <br /> On-site lne: Tcex : <br /> x x Chain of Custody -.ecord <br /> Project Name: First Quarter 2005 Quarterly Groundwater Sam liaa Off-site Time: Temp: <br /> Q <br /> .... <br /> BP BUTAR Region nfos Segment.: Atlantic Richfield Company Sky Conditions: f�r <br /> State or Lead Regulatory Agency: San Joaquin Cp Ity EHD Meteorological Events: <br /> Requested Due Date(min/dd/yy): 4V-md S ccd: Direction: <br /> LabNarne: Sequoia Analytical P/ARFacilityNo.: 2133 Consultnnt/Contractor. SECORrnternattonal,Inc, <br /> Address: 885 Jarvis Drive BP/AR FucilityAddress: 2908 Benjamin Holt Dr.,Stockton,CA Address: 3017 Ktlgore Road,Suite 100 <br /> Morgan Hill,CA 95037 Site LiAll ng: 38l-121.3 Rancho Cordova CA 95670 <br /> Lab PM: Lisa Race California Global 11)H:T0607700002 COnFaltant/Cojitractor Pmjcct No.: 77BP.52133.05.0004 <br /> 1'cWFax: (408)782-8156 Cnros Project No.: owultaiif/Contraetor PM: RustyBenkosky <br /> MAR PM Contact: Paul Su le Provision or RCOP circle one d Tele/Fax: (916)861-0400 x2291(916)861-0430 <br /> Address; PO Box 6249 PhaselWl3s: Re ort Type&QC Level• <br /> i <br /> Mora a CA 94570 Sullphase/Task: NIGmailEDD Ta" potter ecor.com <br /> ele/Fax: Icost Element: 11hivoke to: onsultant r IIP or Atlantic Richfield Co. circle one <br /> Lab Bottle order No: 1lfatrix Preservative Requested Analysis <br /> O Sample Point Let/Long and <br /> Itcw °i u .� P p Comments <br /> Sample Description a d Laboratory leo. o o p, a *Oxygenates ntelude MtBE,TAME, <br /> NCO. PN <br /> D1PE,EtBE,TBA,ethanol, 1,2-DCA,& <br /> EDB <br /> 1 &2 ly� X m 3 X X 38.00432111 -121.3499147 <br /> 2 Al R-3 [[34 X o✓ 3 X X 38.00443051 -121.3498628 <br /> 3 E-4 JatO � X a 3 X X 38.00439651 -129.3498325 <br /> 4 E-5 7 `6 X 3 1 1 1 X X I 1 38.00454221 -121.3498722 <br /> 5 &6 o brr vVe X I v f 3 X X 1 38.00444791 -121.3502044 <br /> 6 - - <br /> 7 - <br /> 8 H-9 J eo rXX <br /> a y 3 X X 38.0047536/ -121.3498869 <br /> 9 E-10 j 3 s 3 X X 38.00432111 -121.3499147 <br /> E <br /> 10 -lt t7�3D �� 3 X X 38.0044305! -121.3498628 <br /> Sampler's Name: II r she By I AMIiation Batc Time ptcci By Affiliation Date Tinge <br /> Sam ler's Com an . < - JVa <br /> Shipment Date: rAQU <br /> Ay --�� <br /> Shipment Method: <br /> Shipment Trackin No: <br /> ------- <br /> Special Instructions: <br /> Custody Seals In Place Yes No Temp Blank Yes No Cooler Temperature on Receipt ji /C Trip Blank Yes No <br /> Distribution: White Copy-Laboratory/Yell ow Copy-BP/Atlantic Rich field Co_ /Piiik Copy-ConsuttaiiUCoiilractor � AP GOC Rev.4 IGIU04 <br />
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