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ARCHIVED REPORTS XR0000404
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 XR0000404
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Entry Properties
Last modified
2/7/2019 9:57:19 AM
Creation date
2/7/2019 9:08:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000404
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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0 0 Page I of <br /> Chain of Custody Record On-site Time Temp <br /> 0 Project Name 2Q04 Groundwater Sampling Event Off-site Time Temp <br /> BP BU/GEM CO Portfolio: Atlantic Richfield Company Sky Conditions <br /> BP Laboratory Contract Number. Meteorological Events <br /> Date: Requested Due Date(mnVdd/yy Wind S eed Direction <br /> Send To: BP/GEM Facility No ARCO Station 2133Consultant/Contractor SECOR <br /> Lab Name SEQUOIA ANALYTICALBP/GEM Facility Address 2908 Benjamin Holt Dr Address 3017 Kilgore Rd,Ste 100 <br /> Lab Address 885 Jarvis Drive Site ID No Rancho Cordova,CA 95670 <br /> Morgan Hdl,CA 95037 Site Lat/I on 381-1213 e-mail EDD kflesoras@secor corn <br /> California Global ID# T0607700002 Consultant/Contractor Project No 7713P 51133 04 0327 <br /> Lab PM Ron Bobel(Sacramento Office) BP/GEM PM Contact Paul Supple Consultant/Contractor TeleTax 916 8610430 <br /> Tele/Fax 916 9219600 Address P O Boge 6249 Consultant/Contracto R Benkosky <br /> Report Type&QC Level Mora a,CA 94570 Invoice to C sultant/Con for or BP/GEM (Circle one <br /> BP/GEM Account No TeleJFax (925)299 8891 P/GEM Work <br /> Lab Bottle Order No Matra Preservatives Requested Analysis <br /> w . co <br /> N <br /> M_ <br /> H A <br /> N ei <br /> Item 1; ° rs ¢1�9 Sample Point Lat/Long and <br /> Sample Descnption Time -d Lab No <br /> No <br /> u w Comments <br /> v chi Go C� <br /> � zz <br /> ci <br /> va 3 U2 z a x x U q�4 O 0 <br /> 1 E-2 - ---INACT 38 00432111-121 349915 <br /> 2 E-3 ----------- ---------------------------_------INACT 38 00443051-121 349863 <br /> 3 E-4 _____________—_____ ___ --INACT 38 00439651-121 349833 <br /> 4 E-5 —__________________—_____-__________—_________________--INACT 38 00454221-121349872 <br /> 5 E-6 ------------------------------- ---- ----------INACT 38 00444791-121350204 <br /> 6 E-7 --------------------------------- -------------INACT 38 00442381-121 349667 <br /> 7 1 E-8 ------------ ------------------—--------------------INACT 38 00454681-121 349803 <br /> 81 E-9 x11 311 1 1 X X X 38 00475361-121 349887 <br /> Sampler's Name tf Reli lshed B 1 Affiliation ime ccepted By!Affiliation �Eatelfi <br /> ine <br /> 4.1 <br /> Sampler's Co anZ= PIC4 <br /> Shi went Date 49:_Z --OLJ <br /> Shipment Method ,,cv� <br /> Shipment Tracking No <br /> Special Instructions <br /> Custody Seals In Place Yes No Temperature Blank Yes No Trip Blank Yes No <br /> Distribution White Copy-Laboratory/Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev 1 215102 <br />
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