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ARCHIVED REPORTS XR0000399
Environmental Health - Public
>
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 XR0000399
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Entry Properties
Last modified
2/7/2019 10:55:19 AM
Creation date
2/7/2019 8:58:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000399
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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s ` L Chair of Custody Record lk site Time, Temp <br /> •` <br /> ProjectName IQ03 Groundwater Sampling Event UJl'alta Tftxtt: Temp, <br /> BP BU/GEM D Poar1tb1t . Atlantic Richfield Company SkyCond>txoxxS <br /> `- BP Laboratory Colt[ract 1mnhei• Meteorological Evenor, <br /> �- <br /> Date: �3�3 Requested Due Date(amt3t/dd/yy) 4/3103 ►Ymd Speed* I)J[ectioxti <br /> Send To. aQ/Gl:bi 1~Mld it -ARG0 9tatlorL hiss Causuitaut/Conlraetor. SECOR <br /> Lab Name fiEgUOIA ANALYTICAL BP OVAW1 F= AAdxess. 2008 Benjamin Holt Dr. dt 3017 Kilgoro Rd.,Sta. loo <br /> [-ab Address 885 Jarvis Drtve Site ID NO Rancho Cordova, CA,96670 <br /> Mor an Hill.CA 45097 e LatJLo 18/-1213 mad MD. eharrmOseeor com <br /> EaHfomLt Global ID 5.701307700002 wzmuua,,.t/C431tmctar P.ro ect No. TW anise as 0527 <br /> Lab 1'M Ran Babel(Saeramznto Office) BP/GEM XN1 C:ocltacL Paul Supple Conan Uut 0=t-4c1orTela/Fwc. 910.801.0430 <br /> Tele/Pax. 916.921.8000 dtesm P.O.Box 8249 C onstilltMk# CanLra+ctor PM R. Benkeskyr <br /> Pe port &g(;Level. 1VI0ra a, CA 94570 Invafae ta: C t/Can Zctar or BP/GF14f (Cixrle <br /> BP/GEM AtooLint No a}J<0x (926)208.8891 11MURM Work Jit <br /> IahBattle Order No lNlatux Prescrrathcs 1Uqurs1cdAujdyfis <br /> I <br /> Item Sample Paint Lat/Long <br /> Sample DescAption Time � � � abcratorg No � � <br /> a and Comments <br /> 1 E-2 63 IS41) X a -37i X 8.0043211/-121349955 <br /> 2 E-3 3 8 bs lot) X o� 3 x x 38.00443051-121349863 <br /> 3 E.q X �Qj 3 X X 38 00439651-121 349M3 <br /> 4 E-5 13 t X d 3 X X 38 00464221-121.349872 <br /> 5 E-6 3 1� 3 # X $ 3 X X 38 00444701-121.350204 <br /> 6 E-/ 1 a X 3 X X 38 004423&-121 34,]687 <br /> 7 E-$ it 591 -3- <br /> E-9 <br /> 3- B.�B�=tXt'3 1503 <br /> 8 E-9 3 5 obi x 0 3 X X B 00475961-121349887 <br /> SaIripler's N.ltTl Rel3ngnishedByJA[fi A lou Ata me ceeptc� /Affiliation Dx4c mn <br /> Sxn LjP,es Company. EO t e t 1 - <br /> Shx rmeut Date: �d <br /> SIIL ]nlcllt Methal <br /> Stix ment'11mclan No* 0"17 <br /> Veivial Tnstruetlons. <br /> lslod'v Seals Tn Place Yes No. Temperature Blank Yes No C=ook Teva ciuLujre c0 R=i at '2nLlMank Yes leo <br /> BY c OCRcr 1 <br /> Distribultan- Wiitc Copy-L-'1X story!Ye1101V COPY-BFIVI M /Pink CoM-CowXA(M t�Mtii 0r T15lob <br />
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