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ARCHIVED REPORTS XR0000397
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 XR0000397
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Entry Properties
Last modified
2/7/2019 9:56:17 AM
Creation date
2/7/2019 8:54:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000397
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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g <br /> s Chain of Custody ecord 1 <br /> . �` �• On-Site 'FuE3e: <br /> Temp: <br /> Ps � ` Project Name: First Quarter 2005 QuartcrIX Groundwater SamplingOff-sitc Time: <br /> BP WAR Region/Enfos Segment: Atlantic Richfield Company Sky Condilions. <br /> State or Lead Regulatory Agency: San Jost uin C ulty ERD meteorological]-vents: <br /> Requested Due Date(inm/dd/yy): WeidS eM: Direction: — <br /> Lab Name: Sequoia Analytical P/ARFacilityNo.: 2133 Consultnnt/Contractor. SECORInternational,Inc. <br /> Address: 8B5 Jarvis Drive BP/AR Facility Address: 2908 Bcnjamin Holt Dr.,Stockton,CA Address: 3017 Kilgore Road,Suite 100 <br /> Morgan Hill,CA95037 SiteLet/Long: 38/-121.3 Rancho Cordova CA 95670 <br /> Lab PM: Lisa Race California Global ID ff:T0607700002 Consultant/Contractor PFojectNo.: 77BP.52133.05.0004 <br /> ele/Fax: (408)782-8156 Enfos Project No.: onsultant/Contmetor PM: Rusty Bonkosky <br /> MAR PM Contact: Paul Supple Provision or RCOP circle one) TctcJFm 91 861-0400 x229/(916)8610430 <br /> Address: PO Box 6249 Phase/WBS: Report Type&QC LevcL <br /> Mora a CA 94570 SubPhaselTask: GnwilEDDTo' totter ecor.cotn <br /> elelFax: ostElemem [inoice to: ousultant r BP or Atlantic Richfield Co. circle one <br /> Lab.Bottle Order NG:- 117atrix Preservative Requested Analysis <br /> Sample Point Lut/Long and <br /> a <br /> � ^o <br /> Sample Description q Comments <br /> roryYo.o 0 n *Oxygenates iclndeMt <br /> BE,TAME, <br /> o Q G 03 <br /> DIPE,EtBE,TBA,ethanol,1,2-DCA,& <br /> r° LgJ5g '�' w EDB <br /> 1 X 4 ) 3 X X 38.00432111 -121.3499147 <br /> 2 13-3 -Yi jX o tL-) 3 X X 38.0044305/ -121.3498628 <br /> / <br /> 3 E-4 �2(D r X 3 X X 38.00439651 -121.3498325 <br /> 4 US Z X by 3 X X 38.00454221 -121.3498722 <br /> 5 &6 � X ivr 3 X X 38.0044479/ -121.3502044 <br /> 6 <br /> 7 <br /> B L-9o Q} X elf 3 X X 38.0047536/ -121.3498869 <br /> 9L-10 1 3 s X b 3 X X 38.00432111 -121.3499147 <br /> 10 JR-1 I mi0 XHI o 11 3 X X I I I I JI 38.0044305! 1-121.3498628 <br /> Sampler's Name; 3ft:zRe she By/AfIIlintioo Date Time ptcd}3y/At't"iliation Date Tinto <br /> Sam lces Com ,r— <br /> Shi ment Date: $ <br /> Shipment Method <br /> Shi ent Tracking No: <br /> Special Instructions: <br /> Custody Seals In Place Yes No 'Temp Blank Yes NO Cooler Temperature on Receipt��° /C Trip Blank Yes_No <br /> Distribution: White Copy-Laboratory/Yell ow Copy-BP/Atlantic Rich lield Co. /Pink Copy-Consultant/ContractorBr COC Rev.4 l0/i/04 <br />
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