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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 2 e 3 <br /> 6Y Mh`� <br /> `s Chain of Custody ..,eeord On-Site Time: Temp: <br /> �.. �. .. `'"..`..".'....::...al`a.. <br /> d[site Time: <br /> Project ttu:rterl Grotmd�vater Sam ling OfTem <br /> BP MAR Region/BafoSegment: <br /> Atlantic Richfield Company Sky Crnxlitioirs: <br /> State or Lead Regulatory Agency: San Joa uin Louj.ty BED Meteorological Events; <br /> Requested Due Date(ininlddlyy): Wind S eed: Q G4 Direction: 15 <br /> Lab Name: Sequoia Analytical MAR Facility No.: 2133 Consultaut/Contractor: SECOR International,Inc. <br /> Address- 885 Jarvis Drive BP/AR Facility Address: 2905 Benj aurin Holt Dr.,Stockton,CA Address: 3017 Kl orc Road,Suite 100 <br /> Morgan Hill,CA 95037 Site Lat/Long: 331-121.3 Rancho Cordova,CA 95670 <br /> Lab PM: Lisa Race CaUvruia.Global ID tl:T0607700002 Constiltant/Coutructor Pro'ect No.; 77BP.52133.05.0004 <br /> Tele/Fox: (408)782-8156 Etifos Project No.: Consultent/Contractor PM: Rusty Benkosky <br /> MAR PM Contact: Paul Supple- Provision or RCGP circle one) f bC j9.2 1 J Telc/Fax: 91 86:1-0400 x229/(916)861-0430 <br /> Address: PO Box 6249 Phasr-JWBS: Report T e&QC Level: <br /> Mora a CA 94570 Sub Phasefrask: E-mail EDD T ter@secor.com <br /> Tele/Fax: Cost Element; 1avoice,t Cotusultant o BP or Atlantio Richfield Co. (circle one <br /> Lab Bottle Order No: Ii1 I atrix Preservative Rcques ted Analysis <br /> O Sample Point Let/Long and <br /> �, k Comments <br /> Item Sample Description A -0 LaboratoryNo, o o o x tt"I., *Oxygenates include MtBE,TAME, <br /> No. U 13 co N <br /> N O DIPE,EM13,TBA,ethanol,1,2-DCA,&, <br /> ¢� z x x P�0 EDB <br /> 11312 l3gv X v 3 X X 38.00439651 -121.3498325 <br /> 2 R-1 r '� Al X 3 X X. 38.00454221 -121.3498722 <br /> 3 R-2 r� X 3 X X 38.00444791 -121.3502044 <br /> 4 <br /> 5 IID-2 060 317/t2r X 3 X X 38.00454681 -121.3498026 <br /> 6 MW-1 W0 3171 X I I J; 3 X I X 38.0047536! -121.3498869 <br /> 7 MW-2 X A/ 3 X X 38,00432111 -121.3499147 <br /> 8 MW-3 )3}17 X Ifs 3 X X 38.0044305! -121.3498628 <br /> 9 W-4 j X ry 3 X X 38.00439651 -121.3498325 <br /> 10 <br /> Sampler's Name: J JItch W,; cd /Aftiliatiou Date 2Ynie pted By/Affiliation Date 'Niue <br /> Sam lee's Com an . �c��r dS 1 �® <br /> Slii ent Date: C� J � <br /> gW nient Method: <br /> Shipment Tracking No: <br /> Special Iiistru tions: <br /> Custody Seals In Place Yes_No Temp Blank Yes No Cooler Temperature on Receipt 1C Trip Blank Yes No <br /> Distribution: White Copy-Laboratory/Yellow Copy-BP/Atlantic Rich field Co. !Pink Copy-Consultant/Contractor w(g ka-C /T BP COC Rev.4 1011104 <br />
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