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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 1 of <br /> Chain of Custody lord On-site Tune Temp <br /> Project Name 2Q04 Sampling Event-BHD-1 off-site Time <br /> Temp <br /> RP BU/GEM CO Portfolio: Atlantic Richfield Company Sky Conditions <br /> BP Laboratory Contract Number _ eteorological Events <br /> Date d Requested Due Date(mm/dd/yy and S d Duechon <br /> Send To: BP/GEM Facility No ARCO Station 2133 Consultant/Contractor SECOR <br /> Lab Name SEQUOIA ANALYTICAL BP/GEM Facility Address 2908 Benlamm Holt Dr Address 3017 Kilgore Rd,Ste 100 <br /> Lab Address 885 Jarvis Drive Site ID No Rancho Cordova,CA 95670 <br /> Morgan Hill,CA 95037 Site Lat/Long 381-1213 e-mail EDD kilesoras@secor com <br /> California Global ID# T0607700002 Consultant/Contractor Project No 77RP 52133 04 0327 <br /> Lab PM Ron Babel(Sacramento Office) BP/GEM PM Contact Paul Supple Consultant/Contractor Tele/Fax 916 8610430 <br /> Tele/Fax 916 9219600 Address P O Box 6249 Consultant/Contractor PM R.Benkosky <br /> Re rt Type&QC Level Mora a,CA 94570 Invoice to C tant/Co actor or BP/GEM Circle one <br /> BP/GEM Account No TelefFax (925)299 8891 BP/GEM Wor e o <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> W o <br /> GQ � <br /> Item bo Sample Point Lat/Long and <br /> No Sample Description Time v Lab No <br /> 70 <br /> ,aq Comments <br /> � � O � N x <br /> 0 `-1 v yco <br /> ° z U H E, K W a <br /> Ln 4 z a x x ca as oQC4 <br /> 1 BHD-1 a X 3 X X X 38 00442381-121349667 <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> I:d Sampler's Nam Relinquished B /Affiliation ime Accepted By ffiliatiou ate ime <br /> Flet's Company �p Z ,Z <br /> ent Date <br /> erit Methodent Tracking No <br /> t Instructions <br /> dy Seals In Place Yes No Temperature Blank Yes No Trip Blank Yes No <br /> Distribution White Copy-Laboratory 1 Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev 1 215102 <br />
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