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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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. Page 2 of <br /> Chain of Custody Record On-site Time Temp <br /> 0 <br /> bproject Name 2Q04 Groundwater Sampling Event oto site Time Temp <br /> P BU/GEM CO Portfolio: Atlantic Richfield Company Sky Conditions <br /> BP Laboratory Contract Number _ _ ,Meteorological Events <br /> Date: Requested Due Date(mm/dd/yy. Wind Speed Direction <br /> Send To. BP/GEM Facility No ARCO Station 2133 Consultant/Contractor SECOR <br /> Lab Name SEQUOIA ANALYTICAL BPIGEM Facility Address 2908 Benjamin Holt Dr Address 3017 ICtlgore Rd,Ste 100 <br /> Lab Address 885 Jarvis Drive Site ID No Rancho Cordova,CA 95670 <br /> Morgan Hill,CA 95037 Site Lat/L.on 381-121.3 e-mail EDD kflesoras@secor com <br /> California Global ID#t T0607700002 Consultant/Contractor Project No 77BP 52133 04 0327 <br /> Lab PM Ron Bobel(Sacramento Office) BP/GEM PM Contact Paul Su le Consultant/Contractor Tele/Fax 916 8610430 <br /> Tele/Fax 916 9219600 Address P O Box 6249 Consultant/Contractor Ebd R.Benkosky <br /> Re ort_Type&9C Level Moraga,CA 94570 Invoice to Con tant/Contrac r or BP/GEM (Circle one) <br /> BP/GEM Account NoTele/Fax (925)299 8891P/GEM Work o <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> 00 <br /> N <br /> G�4 00 <br /> Item Sample Point Lat/Long and <br /> No Sample Description Time Lab No <br /> o co Comments <br /> o Z 0 <br /> 00 <br /> V) vi <br /> 1 E-10 A140, X 3 X F IX I X 38 00432111-121 349915 <br /> 2 E-11 ------------------------------ ----------------------_-----INACT 38 0044305/-121349863 <br /> 3 E-12 ------__---....-------------_------ INACT 38 00439651-121 349833 <br /> 4 PR-1 X 3 11 1 1 IX 11 IX_I _ X I I I I 1 1 38 00454221-121349872 <br /> 5 PR-2 _w_-----�____---_---------�� _----____--INACT 3800444791-121350204 <br /> 6 BHD-1 X1 I I I ix X t 38 00442381-121 349667 <br /> 7 BHD-2 ----------------------------------------------—__---------_INACT 38 00454681-121 349803 <br /> 8 MW-1 ------------------------ -------------------------INACT 138 00475361-121 349887 <br /> Sampler's Narne ( Relinquished By/Aflillation line ccepted By I Affiliation Date <br /> Sampler's Co an !{� <br /> SLu went Date - ----� <br /> Shipment Method (Z— <br /> Shipment <br /> Shipment Tracking No <br /> 'Special Instructions <br /> Custody Seals In Place Yes No Temperature Blank Yes No Tnp Blank Yes No <br /> Distribution White Copy-Laboratory/Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev 1 215142 <br />
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