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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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Page 3 of 0 <br /> Ar Chain of Custody -,ecord ,. <br /> " ll Rate Tinie: Tei <br /> x.0 Project Name: First Quarter 2005 Quarterly Groundwater Sampling tI site Time: Te '2b° <br /> BP SBU/AR Regioil/Enfus Segment: TAtlantic Richfield Company Sky Conditions: ,r <br /> State or Lead Regulatory Agency: San Joaquin Only EHD Meteorological Events: <br /> Requested Due Date(mnr/ddlyy): ILM Speed: Direction: <br /> Lab Name: Sequoia Analytical l3P/AR Facility No.: 2133 ConsnitantlContractor: SECOR International,Inc. <br /> Address: 885 Jarvis Drive BP/AR['acilit Address: 2908 Ben aurin Holt Dr.,Stockton,CA Address: 3017 Kfl ore Read,Suite 100 <br /> Mor an Hill CA 95037 Site Lat/I.on : 381-121.3 Rancho Cordova CA 95670 <br /> Lab PM: Lisa Race California Global ID H.-70607700002 Consnitant/Contractor Project No.: 77BP.52133.05.0004 <br /> ele/Fax: (408)782-8156 Unfos Project No.: ;b e UZI 19 Considtant/Contractor PM: RustyBenkosky <br /> MAR PM Contact: Paul Supple Provision or RCOP circle one TelelFax: (916)861-0400 x2291(916)861-0430 <br /> Address: PO Box 6249 hase/WBS: Report Type&QC Level: <br /> Mora o,CA 94570 Sulo Phase/Task: Ismail EDD To: (i)ottcr@secor.com <br /> Tole/Fax: Eleni Invoice LCC--IISL)It—aibpr BP or Atlantic Richfield Co. circle one <br /> ab Bottle Order No: Dlatrix Preservative Requested Analis <br /> 0 Sample Point Latllong and <br /> d „ -° -a ^ <br /> Comments <br /> HaSample Description A .2 LaboratoryNo. iJ � " *Oxygenates includeMtBB,TAME, <br /> a0 8 0 0 x DIPE,ELBE,TBA,ethanol,1,2-DCA, <br /> '° oy p, p c EDB <br /> co <br /> ., �g x <br /> I MW-5 (2610 3171e I XI 1 11 3 1 1 X I X1 1 38.00454221 -921.3498722 <br /> 2 QCTB X 1 3 X X <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 1D <br /> SampleesName. R q sh ByIArfiaatlon Daic 77�ne eptedBy/Affiliation Date Time <br /> Sam lees Com an . Ga3 a / r3D <br /> Shi sent Date: <br /> Shu neat Method: <br /> Shi meat Tracking No: <br /> Special Instructions: <br /> Custody Seals In Place Yes No Temp Blank Yes No Cooler Temperature on Receipt 1A. /C Trip Blank Yes No <br /> Distribution: White Copy-Laboratory/Yellow Copy-13P/Atlantic Richfield Co. I fink Copy-Consultant/ContractorJf� c BP COC Rev.4 1W1f04 <br />
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