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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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Pae 3 o r <br /> s r` g — <br /> �% { Chain of Custody . ,ecord On-Fite Time: Temp: <br /> 4 W.M <br /> ; x � Project Name: First Quarter 2005 Quarterly Groundwater Sampling Off-site Time: Temp; �° <br /> a <br /> :.:::...::V<,.:;; ;: BP BUTAR Regi o ii/Enfos Segment: Atlantic Richfield Company Sky Canditions: <br /> State or Lead Regulatory Agency: San Joa nin Cjunly EED Meteoralo icalEvents: <br /> Requested Due Date(mm/dd/yy): Wind S eed: Direction: <br /> Lab Name: Se uoin Analytical BP/AR Facility No.: 2133 Consuliant/Contractoc SECOR International,Inc. <br /> Address: 885 Jarvis Drive P/AR Facilit Addiwa: 2908 Benjamin Holt Dr.,Stockton,CA Address: 3017 Kilgore Road,Suite 100 <br /> Morgan Hill CA 95037 Site Lat/Lon : 381-121.3 Rancho Cordova CA 95670 <br /> Lab PM: Lisa Race California Global ID M T0607700002 Cmisultant/Contractor Project No.: 77BP.52133.05.0004 <br /> elelFax: (408)782-8156 Pnfos ProjectNo.: 14.,L7 G U Consultant/Contractor PM: RustyBenkosky <br /> BPIAR PM Contact: PaidSupple Provision or RCOF circle olio Tele/Fax: (916)861-0400 x229/ 9186i-0430 <br /> Address: PO Dox 6249 haseMBS: Report Tyke&QC Level: <br /> Mora a,CA 94570 Sub Pbaselrask: H-mail EDD To: tpotter eeor.com <br /> Tele/Fax: lCost Elcnici# Invoice t Consnitan r BP or Atlantic Richfield Co, circle one <br /> Lab Bottle Order No: IlYfatrix I Preservative Requested Anfilys s <br /> 0 Sample Point LaULong and <br /> Comments <br /> Real Sample Description R b a LaboratoryNo, c o o w rte., \Z) *Oxygenates include MtBE,TAME, <br /> N°' H A o O zz� P� v� DIPE,ELBE,TBA,ethanol,1,2-DCA,& <br /> rn Q 6- ;Dx x R' w EDB <br /> 1 MW-5 (2$0 311l X1 1 11 3 1 X X I I 1 38.00454221 -121.3498722 <br /> 2 QCTB 3 X X <br /> 3 <br /> 4 <br /> 5 <br /> b <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name: R q i/shqdBy I Aflitiatton Dafc lime epted By I Affiliation Date Time <br /> Sara let's Company: Gam VO; <br /> ly: � <br /> Slli meut Date: 91L-- <br /> Shipment <br /> Shi ment Method: <br /> Shipment Tracking No: <br /> Special Instructions: <br /> Custody Seals In Place Yes No Ten>>Blank.Yes No Cooler Temperature on Receipt,/L /C Trip Blank Yes No <br /> Distribution: White Copy-Laboratory I Yellow Copy-13P/Atlantic Riclifield Co. I Pink Copy-Consultant/Contractor ��� c /f� BP COC Rev.4 1011/04 <br />
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